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Home My WebLink AboutPermit 5463 - Silverview - Lot 3 New Single Family Residence• CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - 04.9 BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address New Residence PERMIT # 5I-X7 Control # 88 -308 FOR BUILDING PERMIT 0 16405 53 P1 S Suite # Tenant SilvPrviPw Int #3 Residence Assessors Account # Keith & Christy Bryant 3538 S 200th, Seattle. WA Zip 98198 8r ant Cabin -ts 11 ai ii k Phone # 824 -7012 .71 3538 S 200th, Seattle, WA Zip 98198 ONLY yy APPROVED FOR ISSUANCE BY Sq. Ft. t Office Warehouse Retail Other Occ. Load 1st Fl. 2nd Fl. 3rd F1. Total Fire Protection: [] Sprinklers Zoning R -1 Detectors Type of Construction V -N Lc ate: Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 136,210 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other Receipt #1)'7o. $ 766.00 50 Receipt #5520 $ 498.UU Receipt # $ Receipt #(o)2 L $ 18. Receipt # $ Receipt # $ TOTAL $1282.50 Special Conditions FOR SIGN PERMIT ONLY • ❑ Permanent [] Temporary ❑ Single Face ❑ Double Face Building 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 1S NOT COMMENCED WITHIN 180 OATS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 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 TO GIVE AUTHORITY TO VIOLATE R CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAM REGULATING CONSTRUCTION OR THE PERFORMANCE Of CONSTRUCTION. • Date 11 — 3 --S2` Signed �, �C ) LICENSED CONTRACTORS DECLARATION / t ' hereby affirm that 1 am 1 ensed under provisions o the Business and Professions Code, and my licee— iscin.fuulll force and effect. Contractor (signature)i ��e— Date J u U 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, Date Owner (signature) CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - /PP? BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address New Residence PERMIT # 541* Control # 88 -308 16405 53 P1 S Suite # Tenant Silverview lot #3 Residence Assessors Account # 77g640-0030 Keith & Christy Bryant Phone # 374 -7032 3538 S 200th, Seattle. WA Zip 98198 Bryant Cabinets & Construction #BRYAN_C_C137MN Phone # 824 -7032 3538 S 200th. Seattle. WA Zip (1B1n2 C1 ate: FOR BUILDING PERMIT ONLY APPROVED FOR ISSUANCE BY:- S q • Ft. Office Warehouse Retail Other Occ. Load 1st Fl. 2nd F1. 3rd FT. Total Fire Protection: ❑ Sprinklers ® Detectors Zoning R -1 Type of Construction V -N Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd Fl. $ other $ other $ Total Valuation of Construction $ 136,210 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other Receipt #1p /'76Z $ 766.00 Receipt #5520 $ 498.UU Receipt # $ Receipt #(p17oL $ 18.50 Receipt # $ Receipt # $ TOTAL $1282.50 Special Conditions FUR SIGN PERMIT ONLY • 0 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 Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR MURK IS SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK l5 COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME FO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU 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 JR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signed Date 11 —3 " ? LICENSED CONTRACTORS DECLARATION hereby affirm that I an li e_nsed under provisions o the Business and Professions Code, and my license is in full force and effect. Contractor (signature)�� -- Date ( ) • 3 - U OWNER- BUILDER DECLARATION I, 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. Date Owner (signature) CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address /15 Requestor Special Instructions J INSPEC'1�N RECORD PERMIT # 5 Date Oe �a Date Wanted_ .3.. , ,,h .vc�n ,� 1 ®•.n ; a':. err p . m . Project +,.eG J�'L ,tea Phone # Inspection Results /Comm ts: (/-324r )229 ,/,-,7/ 44 Inspector Date 3auuhmwwo� +.au.gw�ruw�+:rn.,unay.+,rwr CITY OF TUKWILA Building Division. 6200 Tukwila,tWashingtonul98188 (206) 433 -1849 Type of Inspection /^/ "1/i4/2: Date Wanted /•-• ,!f,'Jam` apm. Site Address /41106"... !,'J AI' S , Project $■L,/ /lj^vii t''Lo 7J Requestor Phone # Special Instructions INSPEC( :ON RECORD r� PERMIT # 3 O -4-- A3'9' '‘4/20,P0'',, Date Inspection Results /Comments: C rvGfl Inspector Date CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address /44/0 } 5 -a Requestor Special Instructions INSPECIL)N RECORD PERMIT # 5 L (; 3 Date Date Wanted Fm y -2 8 - Srj p.m• Project QS" a,g4 .J Co / Phone # r2 (- 7032— Inspection Results /Comments: ('� j �r% /� 9A//)2 Cc 2 Z/ 77/4 - /4/i-AvA /A/ (-4J(7 l'✓' /14#1 Inspector Date ''� v . titiit .- lam+: d: trat;GImetiva sx N}J,4Y a t.0 martwo.' • CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 PERMIT # X7/1 .......«....n —..... n..no�w ww.er=��oN.w N.M. xMJ.Y.'rM:V,'e.,,,t .....!0+Y1 WOW., INSPEC{:ON RECORD (206) 433 -1849 Date 5- 3/ l o�/ Type of Inspection teM1-). /),.// Date Wanted 1/ 3/627 a .m p .m. Site Address /6, //70,-----.7.3 /-i.), .S Project // /:=7, '»(/ .i-r'/' 3 Requestor /''�i5tr /^ Phone # e9,2-11— 74 3 2. Special Instructions Inspection Results /Comments: 6:9f! /f3 G`.%' flit/ Inspector .'4 4-e .1__ Date y///77 CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 INSPEC(;ON RECORD PERMIT # -s `l4. Date 3 --30 -g`j Type of Inspection S - Date Wanted t 3 -311-9 Site Address /a � �P PL S'. Project ,c.,6)-s/2.4v-tDL Requestor (' X. o,„ - Phone # Special Instructions 71957/,;,.%,.., ash/ p.m. Ca f3 g2q- 7d. .. Inspection Results /Comments: /�� /7,0,4}!%1/ Inspector ,56 Date 3 —3/4'7 fY YRliatVMe aateuna kreax-vvovzswutt." *. v.. ur+ a�� .- :cr:..�......... ».........._. _..,..� CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address l6 e-/ /) S Requestor Special Instructions PA-to s. INSPECCON RECORD PERMIT # 6-6-/e3 Date Wanted /(4e0 -d2/ G3 g P.M. Project t� c-�t - �� ) d7`, Date Phone # �� / - Inspection Results /Comments: ,i'/Aw/',/i/.. (6,/'fi/e -/ -) � ( Inspector ,,vn ,.� ,�_ Date tbdia CITY OF TUKWILA Building Division Boulevard (206) 433 -1849 Type of Inspection INSPECT =ION RECORD PERMIT # Date 3- te. •- �r5 Date Wanted 3_ I—, • f S (a.m) p.ii Site Address /a `rid PL . ) J'. Project Requestor Phone # " .1. /— 7o32- Special Instructions ct/t a--a12 `n` r �r�ILL ire o • Inspection Results /Comments: 4,42V /%j/y/l% Inspector �-.� Date 3- -17 -f" CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection c. m / i `o) 6,-/.,,j" Special Instructions Site Address ...�.�..............�.�.......« � ............ ...�...... «...... �,..«. .«.........._....«..........................,......... �. ru. xe�u ,nr:n..nrarvt :frt.<swv,eNl'/�. INSPECT'ON RECORD PERMIT # 4-' #G► 7 Date Wanted 3 -/)-/-41° Project Si -14. 1/41d4piit rt/ Phone # 8-•1d1 , 7032 Date Inspection Results/Comments: �� s /Comments: -"aye- "44441 444 1 .--- ,711,47 Zvi %G�- .� ,f4(04/:,t-1 • Inspector j �-g Date CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 INSPECtWON RECORD PERMIT # S Date /D- -9- PiP Type of Inspection . , Date Wanted Site Address / D S ,sue 2 /9Z Project Requestor /(.P� - Phone #_ g i /-U 7 03a_ Special Instructions Inspection Results /Comments: � 71 Inspector Date /A ^/A .-oAo' CIYJ F TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection JYv/9 %✓G- Site Address / j', 5/ Requestor /; 7i}•vr Special Instructions INSPEclON RECORD PERMIT # 'I/ 3 Date Wanted 1d/49/pp, p.m. Project S, 1/ / 'iy/, i ce/ ),'3 Phone # '- /- 7032 Date Inspection Results /Comments: eCre6- ,G 8c-Z 4 �'aviS ' %z,'Z. -Lti Z�& —/ e p 0P-1-P7 e 74-eG- / J- rep-, 'a ate/ .3 123.o C`i s�, ? So- t.•1-4 &'/-ed) o, Inspector Date / J ..2 -, Earth Consultants Inc. Geotechnical Engineering and Geology 1805 - 136th Place N.E., Suite 101, Bellevue, Washington 98005 Phone: (206) 643-3780 / Seattle (206) 464 -1584 MEMORANDUM FOOTING EXCAVATION EXAMINATION DATE FOOTINGS EXAMINED //--- -20 - 06 PROJECT NAME. --- - 4 � � � - � / ( . . t , ) 5 1 6 / V /S / c 1 PROJECT LOCATION' / L... ) wki /-//Ni PROJECT NO. 7 3 ! B Y4iV7 CoNs � -4.00_ /one OWNER OR CONTRACTOR* DESCRIPTION OF FOOTINGS OR CAISSONS COVERED BY THIS NOTICE: FOOTINGS CONDITIONS OBSERVED ,2_ 5 //Q6 L-E t i`'1 /L.4 ‘. ()L`7./5 eoh otc-7`e", g_...,s i.c c`..-'. o r--.4 L�c1aH-.lb 5-76/\/<,_-_-7-: 4r (_.._o -r ,3 - - HeD -1-- / IS t, i o" 2 --�� .S E REMARKS / /7\-) 9S 4 :- 5v/ i •9'S z>,t' ,� = .Co I 4 1 i :: wry --/ /v c4f' - 1 % ? 7 ( .!G/i-� The undersigned has examined only the footing and /or caisson excavations listed above. The results of this examination are only valid for a period of 48 hours. If any changJnnthe conditi occurs, we should be promptly notified. SIGNATU NAME CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address /C J 3 eve F2L S Requestor �►- Special Instructions INSPECTrN RECORD /C3 5 Date Wanted a.m. p.m. Project 5 Ll v-t- L o f Phone # kz V 70 3 �-- PERMIT # Date Inspection Results /Comments: V/ Inspector a►t� -Gr-� Date //-- 6) CITY OF TUKWILA Building Division 6200 Boulevard (206) 433 -1849 ype of Inspection i to Address Jb /D.- - 1 1 equestor 6/4A-1 E ' GZ,4L-ZL pecial Instructions INSPECT 1N RECORD l.R PERMIT # 3/3 Date / / / / %/er /O;3c' Date Wanted 08leg a.r . p.m. Project $ /GyiIU /..tw /0603 Phone # Results /Comments: /%''/ /? /9I) Inspector Date //-/17-63126(2 t 88 -308: Silverview of #3 16405 53 P1 S THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER TUKWILA BUILDING PERMIT NUMBER al-)(p. . 1. No changes will be made to plans unless approved by the Architect and the Tukwila Building Division. 2. Plumbing permit to be obtained through King County Health Department and plumbing will be inspected by that agency (including all gas piping). 3. Electrical work to be inspected by State Electrical Inspectors and all required electrical permits obtained through that agency. 4. All mechanical work to be under separate permit (including furnaces). 5. All permits to be posted at job site prior to start of any construction. 6. Engineered truss drawings and calculations shall be on site and available to Building Inspector for inspection purposes. 7. Subgrade preparation including drainage, excavation, compaction and fill requirements shall conform strictly with recommendations given in the soils report or as directed by the soils engineer. 8. Site and footing excavations to be inspected and approved by soils engineer prior to placement of concrete. One copy of soil engineer's report documenting site findings and approval for placement of concrete shall be left on site for building inspectors use and one copy forwarded to the Tukwila Building Division for file. In addition, an inspection by soils engineer will be required after foundation has been constructed, but prior to backfilling, to ensure installation of footing drains and their tight -line connection to the storm drain as described in the Earth Consultants, Inc. letter dated August 30, 1988. 9. Contractor shall be responsible for the proper location of all foundations. Foundations shall be located at required setbacks, and shall not encroach upon any easement of record. 10. All structural concrete to be special inspected (Sec. 306, UBC). 11 .When special inspection is required either the owner, architect or engineer shall notify the Tukwila Building Department of appointment of the inspection agencies prior to the first building inspection. Copies of all special inspection reports shall be submitted to the Building Division in a timely manner. Reports shall contain address and permit number of the project being inspected. 12. 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 Barrier Free Facilities (1986 Edition). M 'Id�O !lNAai na 8861 E Z d3S 03 3334 M35 O _ -. 1 - - —- O tqb 14, Mr N 4d d V ! rod rQ MOO .1.111 x rrN w Al n s Ni1 Q n 0 O c • Earth Consultants Inc. Geotechnical Engineers, Geologists U Environmental Scientists August 30, 1988 Ms. Moria Carr Bradshaw Associate Planner City of Tukwila Planning Department Tukwila, Washington 98188 Subject: (SEP 27 1988 I t Plan Review Geotechnical Recommendations Lot 3, Silver View Tukwila, Washington Dear Ms. Bradshaw: We have been retained by Bryant Construction to provide an opinion letter to your office as required in the SEPA conditions relative to construction for the above - referenced project. We have conducted a general site visit of the property, and have also reviewed the amended report and supplemental report prepared by GeoEngineers, Inc., dated, respectively, March 30, 1987 and June 1, 1987. These reports summarize geotechnical considerations for development in Silver View and include recommendations for foundation preparation, site drainage, and other issues that are typically addressed as part of a geotechnical analysis. We have also reviewed the plot plan and house plan prepared by Keith Bryant dated August 22, 1988 and submitted by the owner of Lot 3 in Silver View, which we understand will be submitted to the City for a Building Permit. Based upon this review, we conclude that the geotechnical recommendations and limitations outlined in the referenced reports will be applicable to this project, and if followed appropriately, should adequately address the construction requirements for the project. We recommend that footing drains be installed around all perimeter footings, placed on a two to four inch bed of two -inch washed rock, backfilled with a minimum of twelve (12) inches of two -inch washed rock, and tightlined to the storm sewer. The foundations should be placed on competent native soils or on compacted structural fill, and that all cuts be made in accordance with the referenced report recommendations. 1:09.: +i3¢Ihi?icioe fQ:S., nude SQL Bellevue, Washington 98005 Bellevue (206) 643.3780 Seattle (206) 464.1584 ljf t:.re(,t §11-09L. Suitt? 19a P.O. Box 111744, Tacoma, Washington 98411.9998 Tacoma (206) 272.6608 Ms. Maria Carr Bradshaw August 30; 1988 E- 3473 -3A Page 2 In order to verify that the site conditions are as anticipated in the referenced geotechnical reports, we recommend that Earth Consultants, Inc. (ECI) be retained to examine the site and footing excavations prior to placement of foundations. If the plot plan or house plan should change from the current submitted drawings, ECI should be requested to reevaluate the suitability of the site for the proposed structure, and to respond to this effect in writing. Our review recommendations and conclusions are professional opinions deri.ved in a manner consistent with that level of care and skill ordinarily exercised by other members of the profession currently practicing under similar conditions in this area. No warranty is expressed or implied. Respectfully submitted, EARTH CONSULTANTS, INC. CI y of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (208) 433 -1800 Gary L. VanDusen, Mayor TO: FROM: ��3Q��C'� ax,( -(4) DATE: SUBJECT: /Fe' e,A5 MEMORANDUM GGv15 64,0.0.42 # 8ae!- 19 7 (,2- Let J -4, C1.i3 c (/Q 5 e- c11t11c, if)65/ /ei4re 07116t9 6 k 119, 6702- Fri, ,3/0 x 46 13. 7= 8' g0 b-0,4 (It 2804 k l q.6 9= Mt-at = 134 via a I q, i {,r rnr' 96(p Op Zlo- t' 148,00 -Tot- . . ' )m.51) (10 /T2.MEMO) TO: FROM: DATE: SUBJECT: Cit of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433-1800 Gary L. VanDusen, Mayor MEMORANDUM Ze-4f 28 -508 l0.17-S yuMvkl.,ghatiaii Af1..Ate4A.:( I . /.. c�r pow.' Nley-not,gi 4,vozekt l574 do �.�,4/lt4 (10 /T2.MEM0) tr ORDINANCE COMFCANCE - PLAN CHECK NO ES PROJECT: Nitro tm) [OE It- 1/A05" 0,574.?, 42-6 Kam' geen- Sz4 7032 1. OCCUPANCY GROUP A9-3) 172-1 "Du) E LL-4 SheetLot Date: * 2. TYPE OF CONSTRUCTION V-11/ 10/6eptwA-not4 •I 0 3. LOCATION ON PROPERTY W 5,x1"; er4. BLDG.HT./#0F STORIES 2-"IZAZIES• 2r5 (225x 5_0_1c4s 4-6PCio FLOOR ARE 6.+_ ) tZi.5)(3i 076. OCCUPANT LOAD : of Ex.F.LoALL5 4 OTre-, OF - I _>5070kE.4.).1 6 Aeooe lo(0(9 -Z140 axnzViei341:&gz 10 DETAILED REQUIREMENTS 12(7. OCCUPANCYiLXED e(r3. TYPE4F CONSTRUCTION iReQVITep NOTEN) c* ?CAW t3"4S--CM:artc=1202=tv--147. — - g-ro. CODE REGS. t--IOTED C)“ lizzr.)K-te/ Ee_QtAiS, ell. ENGINEERING REGS.& REOMTSAVACcaepare-.", TO 1r•AA4-- GL 47 12. COMPLIANCE W/ W.S.E (Moak teimmf: Aucti) • €-.2470=41747••• 0. %W.A-1-WD INSOLArTiott OL 1%12.0F105ei) a<I3. COMPLIANCE W/ CHAPTER 51-10 W.A.C. ORDINANCE COMPLIANCE - PLAN CHECK PROJECT: htLVE2JtL Sheet 2-of a Date: 4' The following corrections and /or clarifications are required to complete the plan review. t a 2 ) F ?AM1Ctc t?C-Aiii : CLL oyr gNb 5uPPOe C 'off G�.0 LP" RooF ` ektA , j am- ih Ccth' GTt o N 3(4c u) o(.) ':3 va\tct -To Q-Vw f4 (CLL our G F._.A.C4 t -no 9-) ✓2• /r,Coe- 2.) We : ov ,ot✓ Cocive. 4t-e, tooRce. Foe_ 'Q.) "� 5EC,. 602. -3- (o W. S, e ,G WA.I,J LocATLOc& OF c\w "DE4lLS u.4.r Cer.z Age. G2cac,E1) Rio T cells 52EG - ,'t1Jr-o12cemsr- CU .- ifaLlaCeet W4inrt tk5 (I 0 Or P-Ortv\INC,t Zee. i )(4- L t 3 kt-4 CAL E z. a.1 MA U uoo Lev et,- • IoW 4h Lt,, `eg AD c 7 talki t $ "D IM,TS cto-e 40 aiLi4 61,41(440k e,-SaS 6P-144-wz) • CITY OF TIIKWILA uu11d1ng',ivision 6200 South enter Boulevard Tukwila, Washington 98188 (706) 4331011V13.49 Site Address R D`-} (. 5 UI " 'ING PERMIT APPLIC 'ION Control mow Suite# Floor# Project Name /Tenant V -.Q.. -� Q�r, -a■-.. ,��n�- - `j; \verv;e J Lo* ,� 3 Valuation of Construction /5/01 g/O Assessors Account# Property Owner V-,Q � Y, C:\S _ Z7 Phone 56 ay.. ^70'3q Address vr- Zip c a \c Applicant v C4.r ES ,�r r,�- Phone `taxi -70.3Q Address 3 3g `.', c,bAr �Q0A \ --k Zip igI9 A- Architect /Engineer ( .ikhbnn.iti�• g c.11?,, - fir,_ eN AeA-A i-,.e Phone ' . ..7 77 40 Address (\-^c-- G.r.\-ec+- I S`0 t w) U(. \1v.- 1\-w {(USA Zip IN-No : -n 'i6 O -1 I Contractor V);... y, �\ e.A.,; r.,� •F (c);-\.\1.,„(\_,I.0 cense# Gf'AN c.,t i3 r(\ Phone `- a�/ - -7 0 3 q Address S3 %.-- 'Sc . '7.1(-)4 - \ -r `7..c.,a Zip t R1 9 Class of Work: X New ❑ Addition ❑ Tenant Improvement ❑ Remodel (residential) ❑ Reroof E Demolition D Interior Demolition 0 Other Describe work to be done Y1e .,J c-eS\d.er.ce 4A? \.0.4 \A- Type of onst. (UBC) Occ. Group (UBC) Square footage of entire building ' Loc A l)0 -square footage of tenant space ;_bc,c1 Building Use v Ae,r.c Will there be a change of use? ❑ Yes rSj 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 51 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 AUTHORIZATION TO DO THIS WORK. Applicant /Authorized Agent (signature) ?t (print name) Arr77 i Contact Person (please pri nt) K" j.-j1 or C'.l,r,. Date 9 -23- s, 3 Phone gg'j- OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ &I'a,O Receipt# Date Paid Plan Check Fee (000/345.830) Receipt# 35Q a Date Paid Bldg Code Sur Charge (000/386.904) .50 Receipt# Date Paid Energy Sur Charge* (000/386.907) /6', o Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL 1zat (OWES: $ " ?$tJ.CJO ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entir- Building: FLOW USE /Occ Typ: SQ.FT. UGC LOAD USE /Occ Typ: SQ.FT. OCC LOAD USE /Occ Typ: SQ.FT. OCC )nAn TOTAL SO.FT. TOTAL OCC. U al TRACKING DEPT. DATE IN DATE OUT OMMEN S BLDG l()- ICt.43 Approvee foorIssuance ype o onst. 'flee 001 f . ✓ To Mahan: Date Approved: 1 j- - FIRE (Q -►3-00 1O`i'' Approved (Initials),!�'�!- ; ,Ar dated /-2-,; -, Fire Protection: Sprin lers •Detectors 5! r2Q,4i '1'.e -c./ PLNG 2-� ��` � ,� I�-0-23 Approved ( Initials) �` • BAR OLAND USE /SEPA CONDITIONS ' 1 Set ac is :��'° N ?,�S+•Itcn, eci51/44 E 3r) W /O Zoning "�� I �" Parking stalls required for: Site Tenant Space Parking stalls provided: .Site Tenant Space ADDITIONAL PARKING STALLS R QUIRED: : .. PWD Approved (Initials) G,:'....,;..Per letter /plans dated /(,/ -`$ riL —11 I I ; 1 'III: I, • 4.: j 1 • • , • _ ! • 1.•! I 1 1 - 7- - ,L-•; J 1_ i • • 1_ ", 1 t, 4_ , A 1 tT 1 ...„..... ------......., ...----.--..._ , • - ) i /-- — :-... • -.... I /4 . 1,- .......- .............■........, I , . 1 . .- i' i r... 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