HomeMy WebLinkAboutPermit 5517 - Southcentert Mall - Mail Boxes Etc - Tenant ImprovementCITY OF TUKWILA 1:
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - /S4? BUILDING PERMIT
Work to be done T.I.
Site Address 645 SOUTHCENTER MALL
Building Use RETAIL
Property Owner JACOBS VISCONSI JACOBS
Address 633 SOUTHCENTER MALL TIJKWIL4_1WWA
Contractor A.C.I. INC. #ACIN * *13311F
Address 2865 W. LAKF SAMMASH PKY RFnMON
PERMIT # -1
Control #
88 -384
(512)
Suite # Tenant MAIL BOXES
Assessors Account # 262304- 9023 -03
Phone # 246 -7400
Zip 98177
FOR BUILDING PERMIT ONLY
Approved for Issuance By
S q • Ft.
Office
Warehouse
Retail
Other
. 3d ci ,,8
Occ.
- -, ..
Load
2
1st Fl.
5140
2nd Fl.
% it,
"3rd F1.
•(
Total
`
Fire Protection:
Zoning
Special Conditions
C p
Sprinklers ❑ Detectors
Type of Construction
WA
Phone # Zip 898 -9472
P
(j
Date:/,J-
Fees
sq. ft. @
sq. ft. @
sq. ft. @
sq. ft. @
1st F1.
2nd F1.
other
other
Total Valuation of Construction
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
$
$
$ 9,500
Receipt # 6675 $ 117.00
Receip # 6675 $ 7f.00
Receipt
Receipt # 6675 $ 3.50
Receipt # $
Receipt # $
196.50
FUR SIGN PERMIT ONLY
0 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 PERMIT BECuMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR wORK 1S ',iSPENDED OR
ABANO0NEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU UROINANCES
GOVERNING THIS TYPE OF ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TU GIVE AUTHORITY TO
VIOLATE 0 ANCEL E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed Date 12 23 — — ____..
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am 11 n ed l r provisions of the Business and Professions Code, and my license is in full force and effect.
%5 Contractor (signature) ... ___ Date - ?► -p
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 'wended 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 k,
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433-1110 'g¢9 BUILDING PERMIT
Work to be done
Site Address
Building Use
Property Owner
Address
T. I.
645 SOUTHCENTER MALL
RETAIL
JACOB! VISCON_SI �IACOB
633 SOUTHCENIER MALL
PERMIT #
Control #
� S /
88 -384
(512)
Suite iw Tenant MAIL BOXES
Assessors Account # 262304- 9023 -03
Phone # 246 -7400
Tl1KWIl Q WA Zip 98177
Phone # 881 -9472
RF�MONr� WA Zip 98052
Contractor A.C.I. llNC. #ACTN * *1a3NF
Address
2865 W._ 1 AKF SAMMASH PKY N F
FOR BUILDING PERMIT ONLY
Approved for Issuance By:
Sq. Ft.
"I t FT.
Office
Storhi; s
Ware hous e
Retail
Other
Occ.
Load
5140
3d ({
8 -,
Q 1
2nd Fl.
j
15t pzy,
3rd F1.
.
_
Total
Fire Protection: ® Sprinklers [] Detectors
Zoning
Special Conditions
C "r
Type of Construction
Date :j; ,V
Fees
sq. ft. @ 1st Fi.
sq. ft. @ 2nd F1.
sq. ft. @ other
sq. ft. @ other
S
S
Total Valuation of Construction $ 9,500
Bldg. Permit Fee Receipt # 6675 $ 117.00
Plan Check Fee Receipt # 6675 E -76.00
Demolition Receipt # $
Surcharges Receipt # 6675 $ 3.50
Other Receipt # $
Other Receipt # $
196.50
TOTAL
FUR SIGN PERMIT ONLY
❑ Permanent [] Temporary
[] Single Face ❑ Double Face [] Wall Mounted El 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 AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR wURK IS •.`,�E'0E0 OR
ABANDONO FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK l5 COMMENCED.
HAVE READ AND EXAMINED THIS APPLICATION AND KNOW Tr$E SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AMU JR0IMANCES
vRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TU GIvt A�'iORITY TO
E PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Date 11- 23 -'F� - - - - -• -. .
LICENSED CONTRACTORS DECLARATION
I hereby affirm that 1 am li n ed r provisions of the Business and Professions Code, and my license is in full force and effect.
Contractor (signature)_ �s= Date , —2 3 -O^a
1 HEREBY CERTIFY THAT 1
GOVERNING p TgHHIIISS TYPE OF
Og
VIOLATE ,w S,ANCEL
Signed_
OWNER- BUILDER DECLARATION
( ) 1, as owner of the property. or .y employees, with wages as their sole compensation, will do the work, and the structure Is or
offered for sale.
( ) 1, as owner of the property, Ns emClusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
Co - BQ-OI7
t
CITY OF TUKWILA
BLilding Division
6200 Southcenter iloulevard� -- - ---- -�
Tukwila. Washington 98188
(206) 433 -1849
_ : a max. a aac.(41tAIxe.
Type of Inspection
Site Address (o
Requestor
Special Instructions
to
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4
INSPEC 'ON RECORD
PERMIT # XS /07
- �S
Date Wanted`
Project . ee.t
Phone # mrt. 1,40, TZ
Date
a.m.
•
•
Inspection Results /Comments:
Inspector
arm 44./2 • Date // %/4,%
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CITY OF TUKWILA
'Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection
Site Address 6,6-
Requestor
Special Instructions
4 �j Cr■4-011,
INSPEkION RECORD
r
PERMIT # S37 7
Date (a — V g - Feb
Date Wanted 7 42- ,p
Project m %6o.
Phone # gg'J w c,/
a.m.
Inspection 'R`esu�1ts /Commentts: �i Soar n 1' - t %I S ; Z�
�!� C ;pit} eJ S CE`s 'e� f 1�i4 � ! �'i `v �o� (( e G / ,e
Eie:14— /oC 4J.
Inspector
Date /-2-
CITY OF TU WILA
Central Permit System
Control No S -14''
Permit No. 5377
FINAL APPROVAL FORM
TO: El Building
❑ Planning
❑ Public Works
X Fire Dept.
❑ Police
❑ Parks/Recreation
Project Name i.$2,(1// f %c -h 6-S.»
Address 'V. s Wet?
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
This project is approved by this department:
..j
r
Authorized Signature
Date
CPS Form 3 1
1 t
TtIE FOLLOWING COMMENTit'`APPLY TO AND BECOME PART O `� y
"'THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER S'" /7
1. No changes will be made to plans unlama approved by and Tukwila
Building Department.
2. Electrical work to be inspected by State Electrical Inspectors and all
required electrical permits obtained through that agency.
3. All permits to be posted at job site prior to start of any
construction.
4. 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
Facility (1986 Edition).
5. All mechanical work to be under separate permit.
6. Any new ceiling grid and light fixture installation to meet
lateral bracing requirements for Seismic Zone 3.
ORDINANCE COMPLIANCE CHECKLIST /�
Project: V\A L fsoSS �'l�, USA
06.
L
v
Sheet V OF 1
File #88-".361
OCCUPANCY GROUP: 13
TYPE OF CONSTRUCTION: 'fl -1,4
LOCATION ON PROPERTY: N /,3 1
BLDG.HT./ NO of STORIES: WC.. FLOOR AREA:
OCCUPANT LOAD: t L L &c AO /d
-•r--DEA3 tc -•(-J9/
DETAILED REQUIREMENTS:
Occupancy
2toCri1r
i142. �3A
®ype of Construction
Exiting tNC.t clIL UGC = erg, = 21 .< 3() I ONE- C(ty t? GD
ode Regulations
®ngineering Regs. & Reqmts.
mpliance w/ W.S.E.C.
ompliance w/ Chapter 51 -10 W.A.C.
AK
NOTES' 1-WOP 42 nee? 1,S te►Cn ` - 41SVLQ O0.-T) Eke 12.V-GlUte
peteskfr).
CITY' OF TUKWILA q.
6200 Southcenter Boulevard �' � /
112 Batlding hcenst on guy' D. • IG PERMIT APPLIC... T"rt")N
Tukwila, Washington 98188 a< ' IS,. w Control # Sg'3g
.(206) -433 -1849
Site Address Co 9.ti _. C-N, Afa-LL., Suite# Floor#
Project Name /Tenant E
Valuation of Construction `/y 5C3c, Assessors Account# a(p;2 t-/ %)23-0.3.
Property Owner JaLt•,R, vis C(',kv -, C/ JF(J 33 Phone 640 -126/19O
Address P _ : 24. 0.4. / /.•...:, u,�_ .4# Zip 7g /es
Applicant 4 .C..:L / L) C_ . SAL- Lio.s Phone
Address -( k) Cir.. S. 4-rn M • ! Lt.l.( N, G. ZelOon,r4.4 Zip 9 S'U S?
i
Architect /Engineer 0.E., C•zc_ , - Phone
Address Zip
Contractor A.c..:1. IL)L. License# 4C /A) j3 3.1J F Phone ceS- 1 -)({7Z
Address 2.. ; c , z ; 0. LK. SMrI. 1-1K,t,,.1 , Ai-C- P. Comu,v10 Zit 75c z.
,
Class of Work: ❑ New [] Addition Tenant Improvement ❑ Remodel (residential) [] Reroof
❑ Demolition ❑ Interior Demolition [] Other
Describe work to be done / kiS <q-LL_ 1
U g� /�-P �'2v �C`� U /(kLLS (%`� A • r- F �1 C'_oi fnrr 745 , Ac.c_.
•t<.L� -c -,- L,)5 I (., ii L, zc-- C:.`'4. , Cul cL-?f) 4-t- c_ck-'1 � -sP -up /5 /S7/i C ; S7ce.7fi4 v1 /3 CX . .
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 ❑ 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 ❑ 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 AUTHOR ATION TO DO THIS WORK.
Applicant /Authorized Agent (signature) /:;;X ,�� >--.., Date /2— / " ,lam
(print name) Z../5k:',3-6-;A_./
Contact Person (please print) Q_ G,,;%s-a;u Phone (5-S1 _94 7 2.
OFFICE USE ONLY
FEES: Building Permit Fee (000/322.100) $ /(7. Oa Receipt# (n . 7)-- Date Paid /2 •/ -ii
Plan Check Fee (000/345.830) 76 00 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# 1
Date Paid 'V
*New•, ,construct,ipn,only TOTAL C) (OWES: $ — )
. I.: • 1 ,I :,l ./__T
SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entirg Building:
FLOOR
USE /Occ Type
SQ.FT.
Occ
LOAD
USE /Occ Type
SQ.FT.
OCC
LOAD,
USE /Occ TYDc
SOFT.
OCC
agai
TOTAL
SQ.FT.
TOTAL
OCC.
'
TOTAL
TRACKING
DEPT. DATE IN
DATE OUT
COMMENT / I
BLDG
Approved for Issuance 4! ■ Type of Const.
To Mahan: Date Approved: 12- 1°1-80
F IRV
Approved (Initials) . /c Per letter dated A Lcrre7t �' U,�'EA
Fire Protection: (Sprinklers ❑Detectors A7-,2_
PLNG
Approved (Initials)
■ BAR ❑ LAND USE /SEPA CONDITIONS
Zoning Setbacks: N S E W
Parking stalls required for: Site Tenant Space
Parking stalls provided: Site Tenant Space
ADDITIONAL PARKING STALLS REQUIRED:
-a0 I
Approved (Initials) Per letter /plans dated
•
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I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any
adopted code or ordinance. Receipt of contractor's
copy of approved plats acknowledged.
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