HomeMy WebLinkAboutPermit 5270 - Willoughby Residence - ReroofCITY OF TUKWILA
Building Division'
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
Reroof
BUILDING PERMIT
PERMIT # 7 U
Control # 88 -145
17000 53 Av S
Residence
Paul & Emily Willoughby
17000 53 Av S., Tukwila, WA
Roof Riders #PENSUD *124C5
5040 Mill Pond Loop, Auburn, WA
Suite # Tenant Willoughby
Assessors Account # 812520 - 0321- 23ZU -U1
Phone # 241 -b885
FOR BUILDING PERMIT ONLY Approved for issuance hv:
S Ft.
Sq. •
Office
Storage/
warehouse
Retail
Other
IOcc.
Load
st .
Znd Fl.
3rd Fl.
Total
Fire Protection: [J Sprinklers [] Detectors
Zoning Type of Construction
Special Conditions
Zip 98188
Phone # 939 -5113
Zip 98002
Iw �� 2 jn .✓
A/1-ti Date:
Fees
sq. ft. @ 1st F1. S
sq. ft. @ 2nd Fl. S
sq. ft. @ other S
sq. ft. @ other S
Total Valuation of Construction S 3,000
Bldg. Permit Fee Receipt #33P-/ S 54.00
Plan Check Fee Receipt # S
Demolition Receipt it S
Surcharges Receipt #(j S 3.50
Other Receipt # S
Other Receipt # S
TOTAL S 57.50
FUR SIGN PERMIT ONLY
0 Permanent Q Temporary
[] Single Face Q Double Face [I Wall Mounted [I Free Standing Q Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face
Special Conditions
Total square footage of sign
1HI5 PERMIT B(CuMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS ),fiPE'iOED JR
ABANDUNtU Full A PERIUO 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 OR0:9AMCES
GOVERNING THIS T OF WORK WILL :E COMPLIED WIT WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE a��+ORITT �0
VIOLATE OR L THE PR IONS OF A OTHER STATE ON LOCAL LAW REGULATING CONSTRUCT T( P OIIMANCE OF CONSraucIIoN.
Signed__
1 hereby affirm that 1 am lic
>C Contractor (signature)
d under pr
Date
LICENSED CONTRACTORS DECLARATION
mess and Professions Code. and my license is In full and effect.
/ Date C�J�ES
ions of the
OWNER - BUILDER DECLARATION
( ) 1, as owner of the property, or my employees, with rages as their sole compensation, will do the work, and the structure is
offere0 for Sale.
( 1 I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Date
Owner (signature)
not.
.n•�n :PO Jr
#..." .d ±', ttl+*�'t3it+tne:ar t4uxv ,«aw.:,....w.«....,,,.�•..h
t-
IITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection
Site Address
Requestor
Special Instructions
• .... . Ndia�xernY, r,: te.. 6MY ,f?b'�VtC.:!!5'GryFr11:iY?2Y.18, :.
INSPECT/01N RECORD
PERMIT # ( � 2
Date
Date Wanted � FR"
Project � (( cn
Phone #
• 111 •
g;.3oA/jj
Inspection Results /Comments:
o'er >
6495. ryt-e
R.
Inspector
- �i'1.�1.r•�1
Date
k,
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection V-EU` f '&2
Site Address t7C,X)( 573 i' / N' , S
Requestor WLIIS.n-
Special Instructions
Inspection Results /Comments: ( xr,re
19
INSPECT;1N RECORD
g, 3v
PERMIT # 5/
Date 17y
Date Wanted 5(23
Project Wo..L.Psg`t4
Phone #
p.m.
L rte` ! /,lid�S".t,a cy
Inspector irk,/ 2(44-'7
Date O.3/65>
-w v CITT''0 TUKWILA
0�; 1 6200 Southcentern r-'
Boulevard BUI 'ING PERMIT APPLIC.'"TION Control # 8k -1 ��
Tukwila, Washington 98188
(205) -433 -1849
Site Address /7'(r. 5-.3t1 ' ,---239. Suite# Floor#
Project Name /Tenant /i{j7 //(ycor L ��
Valuation of Construction 31 Assessors Account# ls��� -z 32'., /-�c.-C� --e3',/
Property Owner CcU( b� ��ii`�Iaiicy /{ Lv� Phone Z/— �c�2
Address / a2� 5 -3,24 ' / / Zip 923 /�e
Applicant %�G pt- Arp>,S 0 % r- &s Phone �' 3P a
c7/
Address f'L /�' < ( s v'ip Iat,'"�- . � Zip 1Z
Architect /Engineer /U / Phone /(.11/4
Address /tom — Zip
Contractor vi. ''4.. P S License# t 5 '/ ' Z�/ ' Phone )-3f —i7/ 3
Address Orc. -'',// c rl/ 9 , U/i't 1J/ Zip O 'C____
Class of Work: ❑ New [J Addition J Tenant Improvement Remodel (residential) eroof
Demolition Interior Demolition Other
Describe work to be done mot' ,, �, . �.0 `s , rt. c P .0 a / • J /I Ci -<
1917 ;{ �rpo,W 15L ,05 i"� r% b--- ZO Yea/ -6 sS a, /,,, / 3 - 6-6. s ,',
Type of Const. (UBC) Occ. Group (UBC)
Square footage of entire building Z ICJ Square footage of tenant space
Building Use J Will there be a change of use? [] Yes
If yes, describe change of use, including square footages of changed areas
Will there be storage or use of fl minable, combustible or hazardous materials on the premise or
area of construction? [] Yes No If yes, explain
I HEREBY CERTIFY THAT I HAVE READ AND EXAM ED THIS APP ICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT AND THAT I HAVE THE PROPERTY OWNS" S AU HORIZ I0■ 0 Op THI ORK.
Applicant /Authorized Agent (signatur -) ,_s _ , ./ Date —/ / —e, d
_
(print name- „ ' - _ _�►
_
Contact Person (please print) a (7 �`/ Q p^ Phone g7V.
OFFICE USE ONLY
FEES: Building Permit Fee (000/322.100) $ ..s-4/.01) Receipt# �../ Date Paid 5- )5'- &S
335
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# `WI Date Paid 1'
rr •.` ,:� j�'��r
*NeW' constr�uct'ro�l Jonly1 TOTAL (OWES: $ )
_4.-...I5.,51
SQUARE FOOTAGE /BUILDING-USE INFORMATION Square Foota'- .f Entir-
B i din ••
FLOOR
USE /Occ Type
SQ.FT.
LOAD
USE /Occ Tvp
SO.FT.
LOAD,
USE /Occ TVO:
SO.FT,
OCC
tnAQ,
S AL
SO.FT.
S £L
OCC.
TOTAL
TRACKING
DEPT.-
DATE IN
DATE OUT
COMMENTS ,
BLDG
5-1c51
5- W�5
Approved for Issuance Type of Const.
pproved:
FIRE
Approved (Initials) Per dated
Fire Protection: p Sprinklers ❑ Detectors
Approved (Initials) ❑BAR ❑ LAND USE /SEPA CONDITIONS
PLNG
PWD
Zoning Setbacks: N S E W
Parking stalls required for: Site Tenant Space
Parking stalls provided: Site Tenant Space
ADDITIONAL PARKING STALLS REQUIRED:
)
Approved (Initials) Per letter /plans dated