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HomeMy WebLinkAboutPermit 5303 - Heatherwood Apartments - New Health Spa BuildingThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. 5303 Heatherwood Apartments - Health Spa 5851 South 152nd Street RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 8, 10 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. CITY 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 BUILDING PERMIT PERMIT # 57_36 3 Control # 87 -412 New Health Spa Building (for apartment complex) 5851 S 152 St Suite # Tenant Heatherwood Health Spa Building Assessors Account # Phone # 284 -9971 Salant Investments 1818 Westlake 11_.. # 316. Seattle, WA RS Development Co. #_RSDFVC135K6 1818 Westlake N_, #316, Seattle, WA 1 PERMIT ONLY Approved for issuance by: ,1� (513) Zip 981n9 Phone # 284 -9971 Zip ARin9 Date: (c, -/y ,'? Sq. Ft. sit FT. Office Storrehoage/ use Wa Retail Other IOcc. Load 646 A -3 33 Znd FT. `3rd Fl. Total 646 A -3 33 Fire Protection: ❑ Sprinklers Q Detectors Zoning R -4 Type of Construction V -N 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 TOTAL S s S E $ 65,600 Receipt #.3,Y.24, $ 487.00 Receipt # 9542 S 317.00 Receipt #9542 S Receipt # 9542 S 18.50 Receipt #F S Receipt # S ii=1•211•7111117 I•111:3 $ 822.50 Special Conditions Subject to conditions noted on plans. FOR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary ❑ Single Face ❑ Double Face ❑ Wall Mounted Q Free Standing 0 Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMit BECuMES NULL ANO VOID IF WORK OR CONSTRUCTION AUTHORIZED I5 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 ),J1,ErOED JR ABANDONtU FUN A PERIUO OF 180 DAYS AT ANY TIME AFTER WORK l5 COMMENCED. I HEREBY CERTIF THAT I HAVE READ A AMINO THIS APPLICATION AND KNOW THE SAME TO GE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU 1RO:NANCES GOVERNING THIS % YPE OF WORK W L BE LIE WITH WHETHER SPECIFIED HEREIN OR NOT. TIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE Au',+ORITI 'o VIOLATE OR �'AN EL H Vl �' -Ar—t:AW— REGULATING CDNSJRUCT 01� ON THE S,pF,�f9RMANCE OF CONSTRUCTION. Signed— / /I �1 P Date �/�/ 1 her ,•' affirm that I am Contractor (signature) ( 1 I. as owner offered for ( 1 I, as owner tensed, der ENSED CONTRACTORS DECLARATION s I t thethe e a • aod_erafessions Code, and my license is in f 1 1 1a and effect. � •. Date . lJ l�T OWNER- BUILDER DECLARATION o the property, or my employees, with rages as their sole compensation, will do the work, and the Structure II not ` ^'' ^'. ?1 )r sale. of the property, am exclusively contracting with licensed contractor's to construct the project. Date Owner )signature)______ CITY OF TUKWILA I Building Division k 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done New Health Ssa Buildins for aaartment com•lex Site Address 5851 S 152 St uite enant Heatherwood Building Use Health Spa Building Assessors ccount 0 Property Owner Salant Investments Phone Address 1818 Westlake N_., #3166__ SPat.t_lp, WA Contractor RS Devplopmpnt _Co. #RSDFVC135K6 Address 1818 Westlake N_, #31S, Spittla, WA FOR BUILDING PERMIT ONLY Approved for issuance by: 11 C CA o qo- 0451 PERMIT # 5-36 3 Control 0 87 -412 (513) /AU i i 1 7, • 284 -9971 Phone 0 4 -98 9 Date: 1 S q • Ft. sr t FT. Office WStorarehouage/ se Retail Other IOcc. Load 646 A -3 33 Znd Fl. 3rd Fl. Total 646 A -3 33 Fire Protection: ❑ Sprinklers ❑ Detectors Zoning R -4 Type of Construction V -N Special Conditions Fees sq. ft. S 1st F1. 3 sq. ft. @ 2nd F1. S sq. ft. 6 other S sq. ft. @ other S Total Valuation of Construction S 65,600 Bldg. Permit Fee Receipt 01b..24, S 487.00 Plan Check Fee Receipt 09542 S 317.00 Demolition Receipt 0 9542 S Surcharges Receipt 0 9542 S 18.50 Other Receipt 0 S Other Receipt 0 S TOTAL Subject to conditions noted on plans. s 822.50 i FUR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary 0 Single Face ❑ Double Face ❑ Wall Mounted ❑ Free Standing 0 Other 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 OA CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR HORK IS ).,PE40E7 JR ABANCIONtU Ful A PERIOD OF 180 DAYS Al ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIF THAT I HAVE READ A AMINO THIS APPLICATION AND KNOW THE SAME TO III TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANu 1RD :VANCES GOVERNING THIS/ YPE OF WORK W L 8E I 1EWITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TU GIVE A,,'•+ORIT/ '0 VIOLATE 011 rl REFiUTATING CONSjRUCT101( CO , S! NCE OF C0N$TaUCT :JN. Signed ✓/ I / /���� Det• ((gyp ! 1 her .,•' affirm that I am Contractor (signature) ENSED CONTRACTORS DECLARATION ' essions Code. and my lic/nle is in = 1to'fYe /end effect. Date // (,/ f� / OWNER- BUILDER DECLARATION ( ) I, is owner o the property, or my employees, with rages as their sole compensat1On, will do the work, and the Structure is not 'n' ? "1?7 7f offered for Sill. ( 1 I, as owner of the property, M exclusively contracting with licensed contractor's to construct the project. Owner (slgnaturel Date CITY 0O TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of ,Inspection Site Address Requestor Special Instructions INSPECTION RECORD PERMIT # 0 Date 14 •.4'7 "cO l Date Wante Project Phone # a .m Inspection Results /Comments: /01-02}'-e-el 71-; uC5 Inspector Date 2-71'" 4-90 0 NAVE A ,HAPPY DAY CITY OF .TUKWILA 03/29/5+0 f7ENERA 7500.00 TOTAL 7500.00 CHECK 7500.00 CHANGE 0.00 1.1a70'h 28, 1990 7077A000 10:00[ PHONE 433 -1835 R. S. DEVELOPMENT CO. 1700 Westlake Avenue North, Suite 700 Seattle, Washington 98109 Telephone: (206) 284 -9971 Facsimile: (206) 282 -7940 Mr. Dwain Griffin Building Official Tukwila Building Department City of Tukwila 6200 Southcenter Blvd. Seattle, WA 98188 Re: Heatherwood Apartment Complex Tukwila, Washington Dear Mr. Griffin: Ipp r pV.e d 1 --!--1 %- To �O,VSZ. Lckr son Please accept this cashier's check to be used as a cash performance bond for the work to be performed on the two handicapped parking stalls at Heatherwood, per the plan submitted by our Project Manager, Mr. Ron Edie and accepted by the City of Tukwila's Plan Examiner, Mr. Bob Benidicto on Wednesday, March 28, 1990. As we discussed, we have agreed to complete the work by Wednesday, April 11, 1990, at which time after approval, the City will refund our cash performance bond funds (cashier's check) immediately. Very truly yours, G. William Hammer Chief Financial Officer GWH /bba Enclosure oft_ W e.e k .e.x1-kr1S i on ante a . gwh0328 bow) Yidc6 0�1 untiI P pri MAR 291990 CITY Co TUKWI� -A► PLANNING DEPT. R. S. DEVELOPMENT CO. 1700 Westlake Avenue North, Suite 700 Seattle, Washington 98109 Telephone: (206) 284-9971 Facsimile: (206) 282 -7940 March 28, 1990 Mr. Dwain Griffin Building Official Tukwila Building Department City of Tukwila 6200 Southcenter Blvd. Seattle, WA 98188 Re: Heatherwood Apartment Complex Tukwila, Washington Dear Mr. Griffin: Please accept this cashier's check to be used as a cash performance bond for the work to be performed on the two handicapped parking stalls at Heatherwood, per the plan submitted by our Project Manager, Mr. Ron Edie and accepted by the City of Tukwila's Plan Examiner, Mr. Bob Benidicto on Wednesday, March 28, 1990. As we discussed, we have agreed to complete the work by. Wednesday, April 11, 1990, at which time after approval,. the City will refund our cash performance bond funds (cashier's check) immediately. Very truly yours, '60a, G. William Hammer Chief Financial Officer GWH /bba Enclosure gwh0328 '['% MI 01.0 MAR 29 1990 . CITY 01- TUKWILA PLANNING DEPT.. TO: FROM: DATE: SUBJECT: City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433.1800 Gary L. VanDusen, Mayor MEMORANDUM Kim Hart,•Finance Sheltie Bates, Permit Center April 23, 1990 . Bond Release Please release the $7,500 cash performance bond The receipt number is 7077 dated March '29, 1990. completed and signed off .regarding the attached 1990. Thank You! to Salant Investments. All work has been letter dated 'April 18, oztro CITY OF TUKWILA TREASURER'S CHECK CITY TUKW A .� " !' mama CITY OF TUKWILA . / 'G • "C133 ! v 1250 BANK TUKWILA•ANOOVSN RANK SAANCN 1 ■1 W.O. MOS MOONS NSATTLS, WASHINGTON SS1 SS.000S Y.S. SANK O" WASHING NATIONAL ASSOCIATION •AJ R.S. DEVELOPMENT, INC. 1700 Westlake Avenue N., Suite 700 Seattle, Washington 98109 TELE (206) 284-9971 FAX (206) 282 -7940 TELEX 6730636 1EC C�1 UU/ l [) APR 201990 CITY OF TUKWILA PLANNING DEPT. April 18, 1990 Mr. Dwain Griffin Building Official Tukwila Building Department City of Tukwila 6200 Southcenter Blvd. Seattle, Washington 98188 RE: Heatherwood Apartment Complex Cash Performance Bond - Handicapped Parking Stalls Dear Mr. Griffin: On March 28, 1990, a $ 7,500 cash performance bond was posted with the City to insure that the installation of two handicapped parking stalls would be properly completed per the plans submitted to and approved by Mr. Bob Benidicto. The required work has now been completed and was approved by the City on April 16, 1990 by Dave Larson. We therefore request the immediate release of the performance bond funds (cashier check #6506305- Security Pacific Bank) as provided for in my letter to you on March 28, 1990(attached.) Yours Truly, G. William Hammer Chief Financial Officer cc: Enrique Mora �1 Ron Edie Bsps /Js — CN&4"--V`b- PACB4d8 Cashier's Check Security Pacific Bank Washington, Seattle, Washington 98124 • * * * *SALANT .INVESTMENTS'14** 19.3/1250 n SC: 4 • J u lNTLS II dde chock li Iq•t maiden in Indemnity ela d may be iequtred baton 11 an be replaced c1 rrelunded uthorized Signatur s•,,. , , , .,...1,, c��", .., .? ,...t.: , .h.c�i ,.a� +3"x......,,.4 .'t.tc�t , �."ti'acn ;i u SUBMITTED TO: %.e.gZett PAVING COMPANY P.O. BOX 5430 • KENT, WA 98031 • Phone 631 -8290 g S D..e•.32 (. /766 lac. ,l r, urs4t 747:2 S1rta, LtiA . ?no`' ATTENTION: Save DATE: 3/, 4'0 TELEPHONE: �yyl a'039 JOB SITE: G 3r"a?G� TERMS: LATE CHARGE ON PAST DUE ACCOUNTS DESCRIPTION ToL # ,1c cte_ .• ee . 0o to i d, ec,f, /4-€06t. /. Caf + ✓ c)-rMeve (MA a (+- tkcf ( v e_i f r r cJa *e. +- j u,� ac.00y j t vL c w t t.i:i5 •pcA. cv i cL e ct;4.AA . 2 . e-e.es5 ‹.v y 3, P(ace z" etc, 4 C63T X32 -c't i d- c v w,a2 ✓`oc, fL ‹r91-‘4 t4- 4-c- e+ $ cJ 9‘s7— PLUS WASHINGTON STATE SALES TAX IF APPLICABLE /FOR RESALE CERTIFICATE NEEDED WE CANNOT BE RESPONSIBLE FOR SUBGRADE FAILURE NO WORK STARTED UNTIL SIGNED CONTRACT RECEIVED PRICE VALID DAYS THE UNDERSIGNED AGREES TO PAY LAKERIDGE PAVING COMPANY, LATE CHARGES ON ANY PAST DUE ACCOUNT, PLUS REASONABLE ATTORNEY'S FEES AND COSTS INCURRED IN COLLECTION OF SAID ACCOUNT, By LAKERIDGE PAVING COMPANY Date By .03/29/90 14:43 VAX 209 282 7940 • 116th 1I 1L. FACSIMILE COVER SHEET 1700 Westlake Avenue North Suite 700 Seattle, Washington 913109 Telephone (206) 284.9971 Facsimile (206) 282 -7940 Telex 6730636 Company # of pages REGARDING (including this cover sheet) Approx. Tim From Kt FAX No. 14:44 ....FAX 268 282 7946' TO rags J( ii &3 INTL. J & G Land Design 10222 •- 2nd Ave. South Seattle. Wash. 98168 f 63 -� 5' PROPOSAL and CONTRACT • Date .' �` , 1 Y State J & G Land Design proposes necessary/'to complete the following: Zip o furnish all materials and perform all labor .Phone: All of the above work to be completed in a substantial ant) workmanlike' man)er ./.,‘ f!' accordin to standard practices for the sum of r ' /t r 1 Dollars i$_ i! i . . � L. = ..:�' ;f • f ? , .. : '.;/ ...f - • Payments to be made t r /.� r /,, °� %'' :r•- �y'•� . The entire amount of ,contract to be paid within days after completion. Any alteration or deviation from the above specifications involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum mentioned in this contract. All agreements must be made in writing. as the work progresses. Respectfullsubmitte By ACCEPTANCE You are hereby authorized to furnish all materials and labor req 'red to com- plete the work mentioned in the above proposal, for which agree to pay the amount mentioned in said proposal, and according-lo terms thereof. ACCEPT (S, nature) Date _ 1V , Py � Cast l CITY OF.TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 • l Type of Inspectio/ Site Address 5� Requester Special Instructions INSPECTION RECORD PERMIT # .. , SO J Date Li s" / 9 Q Date Wanted --1/ - 901- a .m. Project Phone # i A OLJ rufe Inspection Results /Comment•: Inspector Date /24-27—'47,e9 CITY OF TUKWILA Building Division '6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection'7� Site Address 5 S S / s' y Requestor____4_544 Special Instructions INSPECTION RECORD 303 PERMIT # Date Date Wanted 1.742s et Project Phone # q; C.2> p.m. Inspection Results /Comments: fir,.,,' 1/2-c Date Z""jetj-\ ---t1 ;ITT OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection 6146 Site Address 5 gr% b5e9 /5 ( Requester INSPECTION RECORD PERMIT # , Date /- /7- (,) Date Wanted /__( _ ;) a.m. e Project Phone # Special. Instructions Inspection Results /Comments: Inspector Date ` / 6C› CkTY OF TUKWILA'. Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address Requester Special Instructions `)/// 5 .5 ( INSPECTIn.N RECORD t S3 a 3 PERMIT # Date Date Wanted /,-a S/ Project ee- - 660 -Phone # cc2 F 799 www �. Vhfi• �wfuv .�F.tl��'nkti'F'•- tewYUkfd�.' Inspection Results /Comments: 64‘)/8 No•*/70 /w pi- vu,r,/ Inspector Date )2- -43. -0 ,CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection 1._..n50 1( c INSPECTION RECORD PERMIT # d JO3 Date low— )J) Date Wanted IQ- (4—S°1 3 oc _ p.m Site Address 51 ( ( C5'f'" Project R'oh,Qruic466 Apt._ 1d( Requestor Q_. Phone # oD4o9. --S1.9 cQ Special Instructions Inspection Results /Comments S a/ Inspector Date /2; CITY OF TUKWILA ,Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206).433 -1849 INSPECTION RECORD PERMIT # Date Type of Inspection Date Wante l —jo -- YP dd Site Address cD�7 45c912Ge - Project a� Requestor 1_,f"S Phone # 024,za? .-; usarzo Special Instructions 55 Inspection Results /Comments: t---40„.4-t4,4-\e(/ ��e.;$06, Inspector Date it hod CITY OrTUKWILA' Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 INSPECTION RECORD i C PERMIT # 3-34 3 Date /1 ^/6 -1 J Type of Inspection Date Wanted rte �' -I 4 . Site Address s 5 , <1 i 5 2"1 Sf. die4Project Requester, (i Phone # Special Instructions �-?y2 7q �- Inspection Results /Comments: Inspector /) Date //-p.....e !� CITY OF TUKWILA Building Division 6200 Southcenter Blvd. Tukwila, WA 98188 433 -1845 Permit No. Date j� --��% ' 9i Job Address 5g5/ CORRECTION NOTICE The following items are found to be in violation of Ordinance and shall be corrected. Signed Building Official /Inspector CITY OF TUKWILA' Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (?06) 433 -1849 • l INSPECTION RECORD PERMIT # s o 3 Date a ^% /-P7 Date Wanted g —Pfe577 Type Address of Inspect �'�y"% ' "', '�� g‘:_/5 Requester Project /� 0%J,/,0,1 o egge Phone # a.m. p.m. Special Instructions Inspection Results /Comments: 4 //4 /4/ - 7 Date -- `71--45'7 CITY OF TUKWILA ' Building Division ,6200 Southcenter Boulevard Tukwila, Weshinaton 98188 (206) 433 -1849 INSPECTION RECORD PERMIT # Date / -/ I-eP7 Type of Inspection ,J�'..41./4 + Date Wanted 'dc/ft, a.m. p.m. Site Address /'%: -A /t/., *I,6 7 Project /�0/7J9 /gl//f equestor Phone # Special Instructions Inspection Results /Comments: r ham Inspector ,�JAvi� � Date /- "' /�'2:PC.79 'Si T;zY 'rt CITY OrTUKWILA' Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 l INSPECTION RECORD 5 ',36 3 PERMIT # Date Type of Inspection </-Cet.G Date Wanted / -/6 - a.mp.m. Site Address S"F / /5:2 �� .661 Project Requestor 66/A-A- 7 0' Phone # Special Instructions 2 7g2- Inspection Results /Comments: Inspector Date / -- / 'cJi? CITY OF TUJ(MILA CITY OF TUKWILA' Building Division 6700 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection 5.44, • INSPECTION RECORD PERMIT # '":'c>3 Date /- -- /G -8 Site Address '5"yn/ / 5 2 i1/'ar' /11041:414"7 Project ,0WW7'"• '. fry t4A5' Requester Phone # Special Instructions Date Wanted / / 7 — P ' ' ii p.m. Inspection Results /Comments: (/1/pbet 4l /,// ' , '4,4/4/1 L Insector V.� 'lam ��..... Date --',it -7�°pey p • CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site. Address Requester Special Instructions 61y cic S'8 SI 3 I s- a "`d INSPECTION RECORD PERMIT # S-56-3 Date (a- Date Wanted (deed l0 -,o. p.m. Phone # 2 - Es 75'=- Inspection Results /Comments: CITY OF TUKWILA "Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection /40%%%I...14-- • INSPECTION RECORD PERMIT # 3rJ3 Date /a -- --R Date Wanted .m. Site Address ,7' -P 7-4 — / <z /'2, Project /475.0 3,-7 Requestor Phone # Special Instructions Inspection Results /Comments: (":2d< fr?- 7,1 tr,�"` Inspector 70 /vi Date 4 7-t57d 3 1 � CITY OF TUKt. 4LA Central Permit System ;ntrol No. L 7- Y/ 2-_ Permit No. 5503 FINAL APPROVAL FORM TO: El Building ❑ Planning El Public Works Fire Dept. ❑ Police El Parks/ Recreation Project Name. /I -a r. ! `:) './27r:, >/ -'s Address ' `~ • • Type of Permit(s) 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. This project is NOT approved by this department; the following corrections are necessary: r + 1 ( ) 1 ! I z 1--' ? . : `•• • / ( ) ( /'t.S �' e; / • ( ) ( �� J :�,1% O `'c� ) ( ). (r 1 ' . (c / s • / '' Ai 7 > () () ( ) ?c < ` ,,.. ( ) ( ) ir•1 _sr•/ • t=(A /.? /`�1 Authorized Signature Date This project is approved by this department: • Authorized Signature 1/45/ �:) Date CPS Form 3 J 0 I ' .0 ' Y • I,rerdv1.t %I1Vly %dial1II dttlIVI (THIS CARD IS TO fl AIN I'EHMANEN rLY P051 CU IN A I IL'AUILY ACCCSSIULC LOCATION) THIS IS TO CERTIFY TH ,N CONFORMANCE WITH THE CURRENT 1HERM.,.. PERFORMANCE STANDARDS KING COUNTY ENERGY CODE ORD.1753 REVISED BY ORD.5027 AND APPROVED PLANS, I HAVE INSPECTED THE ENERGY PACKAGE AND CERTIFY THAT IT HAS BEEN INSTALLED IN ACCORDANCE WITH THOSE STANDARDS IN THE BUILDING LOCATED AT: I c.( `l c/ A'Idrner of Pluovrly t. CI c, r King County Joo No �CC . KIN County tild Perini%No r ROOFS DESCRIPTION OF INSTALLATION Type of Material Manufacturer Thickness R Vatue (Or trade name) EXTERIOR r ` � JC / v / 9, of Material Manufacturer hk (Or trade name) CEIUNGS NAT tf.. /� /3-//1/1 / Type of Material CJ Manufacturer 0 C Thickness / L/ R Value .73C' lI (O I11l1In IIOIIK)) Sy. FI. Covered BLOWN: Type of Materiel Manufacturer Thickness No. Begs Or trade name) WI.IBao Sq. FI. Covered R Value FLOORS Type of Material Manufacturer Thickness R Value (0► %fade name) SLAB ON GRADE Type of Material Manufacturer Thickness RValue (Or trade name) Width of Insulation Inches FOUNDATION WALLS (II required) Type of Material Manufacturer Thickness R Value (Or trade name) DUCT AND /OR PIPE INSULATION Type of Material Manufacturer Thickness R Value (Or trade name) HEATING SYSTEM Type of System ,. Manufscluror Input Output ALL GAS & 01L CENTRAL HEAT PLANTS IN HEATED SPACES EQUIPPED WITH APPROVED AUTOMATIC VENT DAMPERS ❑ NIGHT SETBACK THERMOSTAT INSTALLED ❑ HEATING SYSTEM INSTALLED TO NO MORE THAN 125% OF DESIGN LOAD 1.] GLAZING - ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED U WATER HEATERS - ASHRAE 90.76 APPROVED 1 _J WATER FLOW RESTRICTORS -ALL SHOWERS LIMITED TO 3 GPM 1 1 INFILTRATION - 000H i & WINDOWS WEATHERSTRIPPED OR APPROVED BY ASTM 283.73 U INFILTRATION -ALL OPENINGS IN EXTERIOR WALLS CAULKED OR SEALED I .1 FIREPLACES - OUTSIDE AIR VENT (SIX SQUARE INCHES) WITH DAMPER TO FIREBOX I I GLAD TIIERMAI BREAK CREATED L] LIGHTING POWER BUDGET & SWITCHING REQUIREMENTS MET 1 J VAPOR BARRIERS - INSTALLED PER CODE RCMAIIKS (11 desired) I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING 15 TRUE AND CORRECT. � General Contractor (Builder) IC t . IC 1 Contrasraes..!riapletratlon Number By Title Date and Place Subcorllraclor (Insulation Applicator) �2QLL4 ontrectot'e Replalration Number �� LUc. tW1 (Insulation, Masonry, etc.) (Stale "SAM am as eneral Contractor) By L. •111 if p A tc c is ci it� 1Lk! L Title Dale and Place ? :� r 1. rood $001014 000 M $001014 IMO s '-'')ING PERMIT APPLIC TION Control it So 152nd Suite# Floor . ;r -sfte Au- : Tenant Name / Tenant i�a.K'�o vim{ GD U �""-'� Project valuation of Construction (I ; fIt, Assessors Account# property Owner So..(aKY- 10 e5 Me60�5 Phone 234 -9971 Address 1818 v�estlake N. ;;316 Seattle Zip 98109 Applicant R.S. Development Co Phone 284 -9971 _ Address 1818 jGstla� {e N #316 Seattle Zip 98109 Architect /Engineer Milligan -Jaddi Phone 323 -3463 Address 1200 South Dearborn Seattle Zip 98144 Contractor RS Development Co License# _ _ v Phone 284 -9971 Address 1818 Westlake N. #316 Seattle Zip 98109 Class of Work: I! New a Addition IN Demolition • [J Tenant Improvement [] Remodel (residential) Reroof Interior Demolition [] Other Describe work to be done Construction of a new a.pa. is e- R-- -Gsrap .L x. eilmou . Type of Const. (UBC) 'Occ. Group (UBC) Square footage of entire building Square footage of tenant space Building Use Will there be a change of use? [] Yes fl 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? [] Yes El No If yes, explain I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATIO AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER' ORIZATION To 10 THIS WORK. Applicant /Authorized Agent (signature))( -I Date 9 /-1 /R 7 (print name) Ru n Sa an Contact Person (please print) Mike Patterson Phone 284 -9971 OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ k'67,L17) Receipt# >6� -c:- Date Paid 6 -0/-11'1 Plan Check Fee (000/345.830) - Receipt / Date Paid - Bldg Code Sur Charge (000/386.904) •.5. Receipt# / _ Date Paid Energy Sur Charge* (000/386.907) ♦ ' Receipt# 0 -r, Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL x'22, (OWES: $ (IS7.O ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entir Building: -�� FL00' USE Occ T .- SI.FT. DDG s:D USE Oc T .: SI.FT. OCC LOAD SE • T •: 1 FT OCC fig TOTAL Si FT. TOTAL OCC. PT _"._ TR. _ (g( /i1 _-') - IRHLKING DEPT. DATE IN DATE OUT COMMENT BLDG CP -13-85 pprove or ssuance Type of Const.\% t4 To Mahan: 1.0-19?"/ Date Approved: �i�- -0 -:56 FIRE Li-3"(0/1 , Y� TX Approved (Initia ) ,_..1- ,�-/7.- Per letter dated c-- `j'-g -e Fire Protection: [3 Sprinklers P- Detectors .SI L PLNG Approved (Initials) ■ BAR Zoning Setbacks: N S E W Parking stalls required for: Site Tenant Space Parking stalls provided: Site Tenant Space______•_.. OM / ADDITIONAL PARKING STALLS REQUIRED:____ Approved (Initials)__ Per letter /plans dated - _l ©�+ .- PWD - V/2