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HomeMy WebLinkAboutPermit 5434 - Southcentert Mall - House of Fabrics - ReroofCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - /S BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address P.O. BOX 1353 PERMIT # S-41 341 Control # 88-306 T . I . (Poi 61relb WOO* .P0 ✓' t-11/1wC CUtC t") 1070 SOUTHCENTER MALL Suite # Tenant HOUSE OF FABRICS RETAIL Assessors Account # 262304- 9023 -03 JACOBS VISCONSI JACOBS Phone # (216) 871 -4800 25425 CENTER RIDGE ROAD CLEVELAND, OH Zip 44145 -4122 ALGENE CONSTRUCTION #ALGENC * *206BE Phone # 774 -3115 Zip 98046 LYNNWQOD,-WA FOR BUILDING PERMIT ONLY Approved for Issuance By: S q • Ft. Office Storage/ e Ware hous Retail Other Occ. Load 1st F1. 2nd F1. 3rd F1. L4 ")LA- Total Fire Protection: [] Sprinklers ❑ Detectors Zoning (.-t0 Type of Construction Special Conditions '1ec'P Date: Fees sq. ft. sq. ft. sq. ft. sq. ft. Total Valuation Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL of 1st F1. $ 2nd Fl. $ other $ other $ Construction $ 980.00 Receipt # 5522 $ 25.00 Receipt # 5522 $ 16.00 Receipt # $ Receipt # 5522 $ 3.50 Receipt # $ Receipt # $ $ 44 50 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 THIS PERMII BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK l5 SUSPENDED OR ABANDONED FUR A PERIOD 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 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 UR CANCEL THE PROVISIONS OF ANY, OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Date « — e? /- T -- — LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed and isions of the Busin s and Professions Code, and my license is in full force and effect. `1 Contractor (signature)_ - . _ rr Date 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 - I S4-q BUILDING PERMIT Control # 88 -306 PERMIT # Work to be done Site Address Building Use Property Owner Address Contractor Address P.O. BOX 1353 T. I. k'Oinv ftre' f+vAC tUi1,0 1070 SOUTHCENTER MALL Suite # Tenant RETAIL Assessors Account # JACOBS VISCONSI JACOBS Phone 25425 CENTER RIDGE ROAD CLEVELAND, OH ALGENE CONSTRUCTION #ALGENC * *206BE Phone FOR BUILDING PERMIT ONLY LYNNWOOD.'WA Approved for Issuance By: S q • Ft. Office Storageu e Wareho ss Retail Other Occ. Load 1st F1. 2nd F1. 3rd Fl. VII /4 o^T` t al Fire Protection: [] Sprinklers ❑ Detectors Zoning (--' Type of Construction Special Conditions HOUSE OF FABRICS 262304 - 9023 -03 # (216) 871 -4800 Zip 44145 -4122 774 -3115 Zip 98046 Fees 1 .1r Date:') </ sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st Fl. $ 2nd Fl. $ other $ other $ Total Valuation of Construction Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt # 5522 Receipt # 5522 Receipt # Receipt #_ 5522 Receipt # Receipt # $ 980.00 $ 25.00 $ 16.00 $ $ 3.50 $ $ $ 44.50 FOR SIGN PERMIT ONLY [] Permanent D Temporary ❑ Single Face [] Double Face [] Wall Mounted r] Standing [( Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS FERMI( BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 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 TU GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signed _ �� Date LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed und isions of the Busi ps and Professions Code, and my license is in full force and effect. Date /V_ 4 irlr 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. l 1 I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date aITY OF TUKWILA Building Division 6200 Sauthcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection `� {�-�� ,L 5 /--Cn Site Address ,'v 7ci �' —&-- Lj 7 Requestor ��'` v Special Instructions INSPECT1, N RECORD PERMIT # 5 c /? c/ Date re, —(I --0 Date Wanted 6_10j. w. /, Project -zA.aA Phone # s% Inspection Results /Comments: Inspector 1/424-.-1 Date /2-- /f'g CITY OF TUKWILA Central Permit System Control No. Permit No. 5 "47 7, 4' FINAL APPROVAL FORM TO: ❑ Building ❑ Planning El Public Works 52-Fire Dept. ❑ Police ❑ Parks/Recreation Project Name 7-/e v.re°' Address /C�71,1"") -; (e- r // 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: () () () () () () () () () () () () Authorized Signature Date C This project is approved by this department: otri 5-7) Date Authorized Signature CPS Form 3 li!!!!!!.5! Project: /41-"24. Address: ,. Inspector: Inspection Report of: Professional Service Industries, Inc. Pittsburgh Testing Laboratory Division ,, -t{, 4.,.e. Order No: Permit No: ^ Date: �� `e2 y YReport No: 1,44.(1,tViA,4_ 1-cie45(...e.ae SUMMARY OF INSPECTION V G 17 caws (ku =,a., lk-1 aeix,wv CONDITIONS REQUIRING CORRECTION - CORRECTIVE ACTION TAKEN 7400 Third Avenue South • le, WA 98108 • Phone: 206/762 -4664 w ENTRANLJ L4 ENGINEERS � INC. ''II PROJECT c f --cf I- ( 5 CALCULATIONS FOR-Bnot MADE BY rQ DATE ° Zci '55 CHECKED BY G v► rb 'y yz F [t a(b,wC a l disc.or4t iuou, .PItA c5 C SHEET NO OF JOB NO557/17 DATE Y-: 17c1-cd fields Dec o/c, ew L ex i V4I _ Se ia-n G3X5 been w C 4r Con //toots (#000d /oc.-) Garb vr- Sfe�J %a welded Gyr6 cikovc 0-05 ,8 crovi Use 14.) 04 d foCt qi=sovc GuvtS Cl - or- s ee ack w e Wed mm667 - t'(z4 = -. ! � 1c9 —3 Tow Sf -.r�l D ENTRAN -O ENGINEERS, INC. PROJECT 40�s CALCULATIONS FOR' km -91-- -- et l yG. MADE BY --7-1) DATE 5-3,- 5 CHECKED BY G14.-01-D c& VI }- tJ dd(� welds Pre4--1( bock /Z ck SHEET NO 7 OF 8 JOB NO 3.'&1D 7 -q6G C5X5 DATE aor r- C;)11 c7rjr/e Co�heJ�'0, j-t975/ New L,.DOO c� %UC n4 or, i eel fgak lase /dja f7j5/ ,bs✓e. /c 11111 Il !It / Nbv ,• zX ZX% 5/0 V 4ck1 :1141z11- 0' t% II ,< 211 XX " Lp /6 13ZCo . OUSEN ovariii, N agift t4 1 `Q.ki is' Si ••-1 8(c lcrP ENTRAJ ENGINEERS, INC. PROJECT 14 e'4-$9 .0 o/ GrLc_s CALCULATIONS FOR D Av- s MADE BY'kTc DATE ° 2' -55 CHECKED BY SHEET NO 1" OF, JOB NO•`3�j't�7 --Qlcd Garb 1/z c Ci kk. u,veil. - gbove / Iz 7� d ® a l isconi-∎nuous / �e�d� alC' DATE ped e) LZnzx %' _ 5ef ia-7 5 (Pc. 9 C7t' ✓1 AP(' d C-onlinoctS V-200c' ,8 /00/0.2q) 7Vhf-) ot-) curb f 478 2.& o ;4 (oe 5 ee- i7-cf �ai/ /Dc� e 611 --� welded o% r‘,1 G 4r6 G{l:DDve bolo w Cc4r6 xis/ -? %'2.1cr/ L�cL. 3-0;5 Be i use woad y4 x �y ‘i alxlr Z pi's* I-`4 y� G l� gbmvc 2 7L72917J1 ee ack L•velcted ; 7 /a - Sc�.�-�otn s l e• Va" =1 1 d' VA7,51D-t 0 ENTRA -0 ENGINEERS, INC. PROJECT 44/o�se ch�� CALCULATIONS FOR MADE BY 177 IIVID DATE 3-3c1-- ,5B CHECKED BY C5Xs crbvch dd(e welds /z 9c. SHEET NO 7 OF 5 JOB NO (7-- -cI&G DATE 3--0( 0— / 0)/ G7n q/e CohheJ,'o� ,L - 7s/ iL /7J1 .5170c...--j !f%ew t,.Dod.a +crak k,9e /dcd ive UV _ ZxzX% z %)tx 2."X 7L° 16 TS ac A DUS4 ih eve c/ o/,L .'W1sto2 to -94 : (10,..) 4eel (31ac..{Ci!, V.T1:20 THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER TUKWILA BUILDING PERMIT NUMBER S'-(3 "1 1. NO CHANGES WILL BE MADE TO PLANS UNLESS APPROVED BY EN ;INEER AND TUKWILA BUILDING DEPARTMENT. ▪ ALL PERMITS TO BE POSTED AT JOB SITE PRIOR TO START OF ANY CONSTRUCTION. 3. ALL CONSTRUCTION TO BE DONE IN CONFORMANCE WITH APPROVED PLANS AND REQUIREMENTS OF THE UNIFORM BUILDING CODE (1985 EDITION), UNIFORM MECHANICAL CODE (1985 EDITION), WASHINGTON STATE ENERGY CODE (1986 EDITION), AND WASHINGTON STATE REGULATIONS FOR BARRIOR FREE FACILITY (1986 EDITION). . ALL STRUCTURAL WELDING TO BE DONE BY W.A.B.O. CERTIFIED WELDER AND SPECIAL INSPECTED. (SEC. 306, UBC) .ORDINANCE COMPLIANCE - PLAN CHECK NOTES Sheet jof 1 Date: 10-3-88 PROJECT: - 40444, iiA4*Jaj * $8-3O6 O 1. OCCUPANCY GROUP N. A O 2. TYPE OF CONSTRUCTION O 3. LOCATION ON PROPERTY O a O= BLDG.HT. / #OF STORIES FLOOR AREA O 6. OCCUPANT LOAD 1 DETAILED REQUIREMENTS O 7. OCCUPANCY O 8. TYPE IF CONSTRUCTION 0 9. EXITING O 10. CODE REGS. 1 ENGINEERING REGS.& REQMTS. CatA 40613:(14 tAAkem-61.404,14.14c. �t4,14.�4G• 40-614Akttgeof 411_ 1.44,4) -elk D )?e, O 12. COMPLIANCE W/ W.S.E.C. IJA 13. COMPLIANCE W/ CHAPTER 51 -10 W.A C 1•t-1, ENTRAN (J ENGINEERS, INC. PROJECT 4-0 usg d:7t FA8[�1s• 5 ✓_ Pte, . CALCULATIONS FOR P.o.to ci�E-� MADE BY DATE, ? 2k 'S ,CHECKED BY DATE SHEET NOLL. OF 6 JOB NO �--nh- . LLOPC.A . �.... ► , .j . • • f t. V 14.0 i - :. , i;,�, G'4 -�:�' 1� . • : ; ' ; • t . i. ' ' r :: ; [1-✓1� -_L;.' 4 ::•.-1. • • `" . 7 �2.,eD , 1 ' �y '� A4: G,0t/ iY7' r .'t.�i�, %C 74,` 1.. . fib. • _ -_'2c90 :,, ••,' •1.. • ...1.., -•I ,•. • • .,. ••• a , ._.� ..,._ _ .. . _j. . , ' • tt..t : .x..7..,..,.1.1 i_. • .4e.1:41.1 4•..• • _ • ' : :..SEP 23.1986: I .1 . 7 , -. • •1, .. • 1 • 1`vuoh 0 r; to • Z i � .t et, d. _54 a e` • 1 :. .. r.«.� .1.. 4.' 1. .t .i ,........rs. J. } ,.► )1Y b -TUKWILA 3 1988 •J i .. ; -; • a., • •1 13cKH' -% :: .:�(>,8_z 4' • '(�viloxZCo�. : Zs�■ =o`'': ems,- �:.sj,�.�.,: w �.: 7� y -}z .. r,.. 1.. _ . J '! -1 i ,. . i. :f 1 .. • i .... ,.r ..., • ,,.,_. . . 1.,.•..i i_,_ • 1..1 J f 1 ; , ,...a.) !. ..., • 1 1 ;,, 1. - .--+ .1.. _ 1. t _a_. .J II, • , -1. ' . I , ., i 1 t..j 1 ......1 I. . • 1t • J :.. 1 • ... ... 1 i . { ��s ..• • •J 1 1..7 ; • ,.. � .E..1 1 j 1 • ':• .1. i. , ... .1 i i .1., 1 . .J. . i ,. , . 1 .,r 1 ;t•�,a' .D.Z —.1.1.: 11:':'5'=;36 -4 ‘‘i3 i3.• ' . :" ;..::.�. ; i_. ,..l.' ,... ••• -. ..J• I. 1 -T4' '•l• �.t..!. 1.. ,. -r 1..j.; , . • , , , -�' 1 ,.. .. i •J -• J -�•,- , , ,•. .. : ,. .1' , -. .1.1 1 ♦_1 . -I , . ...'1 • .. .. i t 1 '. ....•. , e ENTRANCO ENGINEERS, INC. PROJECT A-4/60 OP b h`C.P 41% ,_ CALCULATIONS FOR MADE BY SHEET NO 2- OF 8 JOB NOMIC7 -06- DATE " "ftCHECKED BY (15e • • •D evn: a.o:..5 ...0 VS< CG•61? • Gtis Co -1 f �c✓' • • w = C2CS4‘>: . Ply 7:'x /t Pot- Cu-'' 2.S.'• ro•-nn .C.6 DATE li <'334. Cod cu,grte ��a•,cAe© -,.. . ..•1s , C.25� 6 -- CoZS Girt- i0" pi,...,.► AsK Ppsi' • BncL t 0 z4csoo c0-2,50,0.=1 1 tut k_ Maw. ._ ;'3aCX (7-A)ZC.rL'> ., . • ; . _ :I- :624(.6) zaz �Cc z� c,�Z� . , -�-�. unt- i-0014 :.45Q* ip . • • .204cz5-)ctss — :.,........ •=. csifr.)-4...p. .4 5p•l @ 4{ = ?.A! -D' • • • .i !" %0 . .... i .. e ENTRAO ENGINEERS, INC. (. PROJECT 61-�.us[ o4 p,,I,' %GS ifi- 1/:.A -_ CALCULATIONS FOR 1D-P kind Sis MADE BY l DATE E6"?b-b 5 , CHECKED BY ••; r t. .,. _. • - . ..... ..., • SHEET NO 3 OF, e JOB NO 95497 —06 — '... , .. DATE ... _r . i.. .. •.•�_, •. .;.._ ,. . ;.1. } I 4..• . . .!._I., .. : .,._1 : .. .. •1 i : . 1• 1 1 .1 .1. w... i .. .. ..t , 4 -1'. :1 ... .t., • •, • 1 ' • y • I 'r— J • 1 ' '1'• •-i : .• I..± • _. 1 a..: ._.,.� .t ..1..,..f.l.• i••i (. ..l..{ .., J. 1 ;.;.. i ' '..t.i - . J ' • 1 ,•.', ,. •.�. ;. .'�..t..I..t ..r. �..} .i. .1 .i .I.; ..r. , .,. . j.,.__. •,�.. �.- � i .i..i ..i .T._� •, ._4.. i ,... -1'y i ;•I ' ! 1. I.i..i. 1. t ,� 1" / • ; c. «.•• :1..,' • , ;y • • . ; 1 ' 1 1 ..j _I . . • • ' ' • • 1.• - ._� 4 ,- y. +. r '1.., • ENTRANCO ENGINEERS, INC. PROJECT 01' CALCULATIONS FOR 'Roo et�s��S MADE BY DATE ern-S4.4 -S4.s CHECKED BY SHEET NO OF 9 JOB NO 113E>767 -,"k- CSlG�h Z., C."et' hCks 4-0 C.glrr `,c cL 4-a ,L 97Led /e,oLvi 2.°� 4 3.4•24. 285' 1- 11.4o* w = 7513/!0 /35 p .214) 1-45 G�lO Co75 ; rs 5 • fit) -- - C3 _ ?.1.( ,s Gru,,, �- Co i 521 • (� _ .O_ 31 zS (ALG C, 3'X5 .I '1 t. y4 (- e-r yg ` wed DATE a.^ X01 si-', K,s e /504-3/ • R s &I., e 75g —k 1.Z4 i? ems- ti,� r ti c{e-ct. 4, ciAguAvotls 4,48 a. (5 per ' t` CL, rr 5 -13 , 0P (Dr` %g>not I p(g05 , ENTRANCO ENGINEERS, INC. (m. PROJECT SHEET NO 5 OF g JOB NOofv7 - ors. CALCULATIONS FOR .k•)016 A.,11 e 5 MADE BY . C> DATE `�- -gam CHECKED BY T • ghisk/ay /(D 13 Z(v a'J 'kz' K' ' DATE mr. C.1�'L1 m 4-) �ea�urn Q1r,in Lit/t., .G3X5 e/ov lye/ ,/ De Gvr•h ✓e treicelZeci Sim •�. DUS 34 -41/ONAL Env • EF-A7 Si 21 Toisf- 1 *Th N e ENT RAc CO ENGINEERS, INC. PROJECT 1.4 muse o� br<<.S CALCULATIONS FOR le., MADE BY DATE 6 Zc -,e, CHECKED BY SHEET NO _ OF_ JOB NOS /r7 - �-9rd) DATE _ tr`000Pii a IP-or ctou-6 Gon/ /)oct5 u.Do2c G `l r b G 4r6 q j,ove /&,82.& gr d 0 Ut,1,i/ /Dd @ 611 . o4: «/ irk" 3.05 i3s,rovi use woad is ocicr I gkvvc j'ois4� G A ric,s 71-; I7J bek- -, ovN e ENTRANCO ENGINEERS, INC. PROJECT /A 7'1$L' d 1`�rYJr't`C CALCULAT ONS FOR krAPIC MADE BY ' 17-1-) DATE 8 Z°f - 88 CHECKED BY SHEET NO_Z OF 8 JOB NO etf ? -C6-260 C3X5 dcllt welc15 /Z `1/ L V J -. 1,7 /7D7' 70w''7 DATE SI`'Yaor r- q l qn q/e C.ohhec_ko •-) J10 0197 SA Aid MeW (mod 419ce - I.7e151 D c, ‹ / nV /- 2.x2kj V . %" X Z"41 " 7o ev,c eiL 5 5 i : 114'2 %II -D' C Dimensional Data Figure 13 — Outline Alr Conditioner — 84.11- Contained Mader No. OWCOIOF•H TWO toff-Fr Approximate Cotner weight • Lb. 01 02 03 04 273 321 213 219 ' 161 342 213 221 . -e. 34.1/2 411-5/6 37 41M•/8 IW1111' AA1 Nat STD. I TI‘Alaw el►i TND IuNR eOWI� WIRING 00NfIUR1 4W NOW POINT POMP OONNICTIQN p ATTI NQTTS: tales curb BAYOURBOI a for duet flange dimension or IAYDUCT0001 ooncs ^trio $upp'v end return duel for dimensions. 2,If aurb la not Old, w1 Instiller's guide for duct ►tar1N dIMenfiene. titmice Ind ope tting elearanau, 36" la eempnuer. Filter Ind control sloes, 42" to condon►or Inlet slat. Top cla►renes • no obstruction. 4.Indoor fir supply ar'd rNurn openings are net Me duet suet. he curb outline for duct 1111x, / 04 NNOCrtoVr 161.1r g1A. KNDC11t%1T6 1 ILICTRIC RAT POWER WIRN01 vet r DIA. KNOGtOUrp I ILICTRC NEAT POWER WiR91111 I./ IN'' >r 1'. • OIUN COtll WO 1'4w 4',,I0 anima 311 0 0 0 Pe 01A 1C01/111.3L WINM0 1 N • eTILO a 1+O 0 •� -� CITY OF TUKWILA �� e r �`- \, 8ui!'ing Division BUILDING PERMIT APPLICATION QQ � q� R 6200 Southcenter Boulevard Tukwila, Washington 98188 Control # UO (206) -433 -1849 Site Address / 0 90 5 d' 1771C(= ,n/%/_✓i' A1J3-mL Suite# Floor# Project Name /Tenant /r u 5 ry G f /"f'A3411c_ Valuation of Construction y i %g' Assessors Account# cQ s 230G/- x%023-0 3 Property Owner ��- G des )o%T?h:q°' S Phone A/ 6 - Fp/ ro p Address 2 5l4( 2� CrZAC "Vie lel1266: t° '-t CLava.triw0J 0 (t7o Zip / i y /'/5 "4f 2-.'Z— Applicant th, 6:54/z C °'AiSaltiGnvit/ C,9 /i■14-, Phone 7 q —3l/ S Address p ' ( 3 - 04, /3S 3 / wove! lyvq- Zip pro y( ,yt'YN Architect /Engineer //1lT/p/trY Gm %"Y GlAt atC PC S Phone ,'2) - /3 ° 0 Address ,s'"e o a- /CM< v./A-5 fr 13111 /t/Sz .s (t ( &. Z O (5 lC ivflO, O w49 : Zip f 31 Contractor 4.2, G l: a,/ j ��.(9 At 5 /}P (.c c,/ ?oxyLi cense# / L-&-- IVe. -ef 30(0 Phone ? It -,3l r .�- Address f 4,1-• 0. BE Zip Class of Work: 0 New ❑ Addition _ Tenant Improvement [] Remodel (residential) Reroof Demolition [] Interior Demolition E Other Describe work to be done A:, /A/ fa�Q G/� %Pve, f f /' ////f. (N(T Type of Const. (UBC) Occ. Group (UBC) Square footage of entire building Square footage of tenant space Building Use R.(- ,ad ' Wi 11 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 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 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIION T DO THIS WORK. / Applicant /Authorized Agent (signature) L- Ti/Gz-/°'c_- Date �- x.3 ` ' (print name) Aali r(- 71;.,-77- Contact Person (please print) Q,( L- 7-/A■te Phone 7911 -3 ' OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ g Receipt# ., . Date Paid 45 "85 Plan Check Fee (000/345.830) ,,►` Receipt# Date Paid Bldg Code Sur Charge (000/386.904) 50 Receipt# Date Paid Energy Sur Charge* (000/386.907) Receipt# Date Paid Other '( ) Receipt# Y Date Paid f *New construction only TOTAL L(6/56 (OWES: $ ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entir- Building: FLOOR USE /Occ Type SQ.FT. Uu. ,LOAD USE /Occ Type SQ.FT. OCC LOAD; USE /Occ TVD- SO.FT. OCC ifAf TOTAL SO.FT. TOTAL OCC. ' . TRACKING - ' 1' If COMM Jiff i BLDG Q 99-A-86 1.30-88 'pprove. or ssuance AR 1024 Type o onst. To Mahan: Date As. roved: / -3 -- RE Approved Initials) Per letter sated Fire Protection: • Sprinklers 0 Detectors PLNG Approved nitials • B'R ■ L' 1 • I 1 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