HomeMy WebLinkAboutPermit 5645 - MRA - Tenant ImprovementbUI LL/MU I KMIT
(POST WITH INSPI,:TION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING
PERMIT NO.
6 415'
DATE ISSUED:
FEES
DESCRIPTION
AMOUNT
RCPT N
DATE
BUILDING PERMIT FEE
337.00
0065
6 -8 -89
PLAN CHECK FEE
219.00
0065
6 -8 -89
BUILDING SURCHARGE
3.50
0065
6 -8 -89
ENERGY SURCHARGE
PHONE 433 -8997
ADDRESS 12878 INTERURBAN AVENUE S.
TUKWILA, WA
OTHER:
)5E
.3o82
27
TOTAL -
559.50
SI
S
PROJECT INFORMATION
12720 GATEWAY DR
PROJECT NAME/TENANT M , R. A
SUITE r#
110
V L
u N -S 38,000
ASSESSOR ACCOUNT #1600480 -0008
TYPE OF [-New Building L -Addition Tenant Improvement (commercial) U Demolition (building) U Grading/Fill
WORK: O Rack Storage 0 Reroof 0 Remodel (residential) 0 Other
DESCRIBE WORK TO BE DONE:
INSTALL TENANT WALLS, FINISH CEILING FOR TENANT LAYOUT. ALSO, INSTALL THE
ONE HOUR CORRIDOR EXTENSION THRU THE SPACE UNDEVELOPED.
PROPERTY OWNER BEDFORD PROPERTIES
a f0 l ,2
PHONE 241 -11 -3
ADDRESS 12886 INTERURBAN AVENUE S.
TUKWILA, WA
ZIP 98188
CONTRACTOR SSG CORP
(through
Public Works)
PHONE 367 -9393
ADDRESS P.O. BOX 33970
SEATTLE, WA
ZIP 98188
WA. ST. CONTRACTOR'S LICENSE # 22301SSG60 #249J8
SQUARE
FEET
EXP. DATE
ARCHITECT DAVID KEHLE
OCC.
LOAD
PHONE 433 -8997
ADDRESS 12878 INTERURBAN AVENUE S.
TUKWILA, WA
ZIP 98188
USE .4
a f0 l ,2
1
CODE COMPLIANCE
l
/
/
I o
(through
Public Works)
FLOOR
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL
SQUARE FEET ,
3Ox8'
TOTAL
OCC. LOAD
iv 1
)5E
.3o82
27
TOTAL
308 8
2.7
,
3088
TYPE OF CONSTRUCTION: III -JBC EDITION (year) 85
SETBACKS: N — S — E —
DATE: rr
7- (O -8?
0/—
FIRE PROTECTION: Sprinklers 0 Detectors 0 N/A
UTILITY PERMITS REQUIRED? O Yes
I o
(through
Public Works)
ZONING: M4BAR /LAND USE CONDITIONSEYeS .No
CONDITIONS (other than those noted on or attached to permit/plans):
APNHOVED FOR
%
BUILDING
OFFICIAL
DATE: rr
7- (O -8?
ISSUANCE BY: K1 , t 1,C(
�
1 hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions
of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of
this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance or work. I am authorized to sign for and obtain this building permit.
/ li , / , / (
SIGNATURE:.IG_4:'J .. /J % �"
DATE: 7lo (S
PRINT NAME: r/,24 ,,ri.e 'IS )
COMPANY: 6S6 (CD VPQOYy- B-17
This permit shall become null and void if the work is not commenced within 180 days from the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection.
DATE ISSUED:
CERTIFICATE OF
OCCUPANCY NO.
BUILUINCa I 11MII ,/
(POST WITH INSF . TION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING
PERMIT NO.
475'
DATE ISSUED:
FEES
DESCRIPTION
AMOUNT
RCPT N
DATE
BUILDING PERMIT FEE
337.00
0065
6 -8 -89
PLAN CHECK FEE
219.00
0065
6 -8 -89
BUILDING SURCHARGE
3.50
0065
64 -89
ENERGY SURCHARGE
PHONE 433 -8997
ADDRESS 12878 INTERURBAN AVENUE S.
TUKWILA, WA
OTHER:
3085
TOTAL -
559.50
9 -122
PROJECT INFORMATION
12720 GATEWAY DR
PROJECT NAME/TENANT M. R . A .
SUI
110
V
N.
38,000
ASSESSOR ACCOUNT s6O64$iT�B
TYPE OF 0 New Building Addition Tenant Improvement (commercial) U Demolition (building) 0 Grading/Fill
WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) 0 Other
DESCRIBE WORK TO BE DONE:
INSTALL TENANT WALLS, FINISH CEILING FOR TENANT LAYOUT. ALSO, INSTALL THE
ONE HOUR CORRIDOR EXTENSION THRU THE SPACE UNDEVELOPED.
PROPERTY OWNER BEDFORD PROPERTIES
-.f O 18D
PHONE 241 -11 -3
ADDRESS 12886 INTERURBAN AVENUE S.
TUKWILA, WA
ZIP 98188
CONTRACTOR SSG CORP
:Lap '
PHONE 367 -9393
ADDRESS P.O. BOX 33970
SEATTLE, WA
ZIP 98188
WA. ST. CONTRACTOR'S LICENSE # 22301SSG60 #249J8
OCC.
LOAD
EXP. DATE
ARCHITECT DAVID KEHLE
SQUARE
FEET
PHONE 433 -8997
ADDRESS 12878 INTERURBAN AVENUE S.
TUKWILA, WA
ZIP 98188
USE 4O.4
-.f O 18D
/
CODE COMPLIANCE
/ /
/
UTILITY PERMITS REQUIRED ?O Yes
I o
:Lap '
SQUARE
FEET
OCC.
LOAD
a?
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LQAAP
SQUARE
FEET
OCC.
LOAD
TOTAL
sOUARF FEET
TOTAL
OCC. LOAD
iL
3085
30 al
gl
TOTAL
3088
,27
_ 3088
7
TYPE OF CONSTRUCTION: III -Iw BC EDITION (year) 85
SETBACKS: N - S - E -
W -
FIRE PROTECTION:
AK prinkiers 0 Detectors 0 N/A
UTILITY PERMITS REQUIRED ?O Yes
I o
(through
Public wore
ZONING: M -iBAR /LAND USE CONDITIONSEyes�'No
CONDITIONS (other than those noted on or attached to permit/plans):
APPHOVED FOR
ISSUANCE BY:
BUILDING
OFFICIAL
DATE: 7
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions
of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of
this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance or work. I am authorized to sign for and obtain this building permit.
SIGNATURE: &//'J, 4a DATE: 770741c
PRINT NAME: 1/747,7 / /'' c) COMPANY: 5S6
d�
This permit shall become null and void if the work is not commenced within 180 ays from the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection.
CERTIFICATE OF
OCCUPANCY NO.
Scl
DATE ISSUED:
CITY OF TUKWILA
,Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
INSPECTION RECORD
PERM
Date
Type of Inspection' (/)? Date Wanted a.m. p.m.
Site Address I. L2 71c) D Y Project y,1 g t9
Requestor SSX`� . Phone # 45/c( 9/ S
Special Instructions
Inspection Results /Comments:
g) #90
Inspector
/hri!,PrIL Date /4$2 / /0"
"s9:tM*V.:Vili ?OltaU Vcrva'rlMhxWANSA uikk rurx 4*. rim,, o.,. au,.......:.,, K.. ��». e......, w,.«<. �G.,,.......„....... ,.,.w ................._.�....__ _...
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection IJPstUitJC./
INSPECTION RECORD
PERMIT #
Date
Site Address 127)2-0 C OIL
Requestor 14A "'.,S
Date Wanted "TIE ,/ y
Project KV
Phone # '3 ?3' 2-1444
a.m. p m
Special Instructions
Inspection Results /Comments: C:),'c) 4±
s90-
A4Weir ee-aree
Inspectorli�'✓�
Date ;234.26/0
CITY Of TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection Pra../7/1 0/
Site Address /q?a0
lequestor
Special Instructions
.r.«
INSPECTION RECORD
PERMIT # '�/
Date % %a / FY
Date Wanted 7/zo/89
Project /721e01
Phone #
ci-to‘
a.m. p.m
Inspection Results /Comments: 1---a7/ /atev- p1-' r•s fae-- Ce>
(.O■ 60 Go fr l
Inspector
Date 7/..9/,7
_CITY OF TiiKt• iLA
Central Permit System
..,ontrol No. 7")
,
Permit No. -> 6 V ,5
FINAL APPROVAL FORM
TO: D Building
El Planning
D Public Works E Police
"---Q Fire Dept. CI Parks/Recreation
C Project Name
Address / 7 7 /
Type of Permit(s) /
e, .)
L2-.- /&//6)
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
I This project is approved by this department:
Authorized Signature
Date
CPS Form 3
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER 5-64-7S- .
1. No changes will be made to plans unless approved by Architect and
Tukwila Building Department.
2. Electrical work shall inspected by State Electrical Inspectors and all
required electrical permits obtained through that agency.
3. All mechanical work to be under separate permit.
4. All permits shall posted at job site prior to start of any construc-
tion.
5. Any new ceiling grid and light fixture installation to meet
lateral bracing requirements for Seismic Zone 3.
6. Partition walls attached to ceiling grid must be laterally braced
if over eight (8) feet in length.
7. Any exposed insulation backing material to have flame spread rating of
25 or less.
8. All construction to be done in conformance with approved plans and
requirements of the Uniform Building Code (1988 Edition), Uniform
Mechanical Code (1988 Edition), Washington State Energy Code (1989
Edition), and Washington State Regulations for Barrier Free
Facility (1989 Edition).
9. The issuance or granting of a permit or approval of plans, specifica-
tions and computations shall not be construed to be a permit for, or an
approval of, any violation of the provisions of this code or of any
other ordinance of this jurisdiction. No permit presuming to give
authority to violate or cancel the provisions of this Code shall be
invalid. U.B.C. Sec. 303(c).
City of Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575-4404
Gary L. VanDusen, Mayor
June 26, 1989
Fire Department Review
Control Number 89 -122
Re: Gateway Corporate Center /M.R.A. - 12720 Gateway Drive,
Bldg. #7, Tukwila, Wa.
Dear Sir:
The attached set of building plans have been reviewed by
The Fire Prevention Bureau and are acceptable with the
following concerns:
1. All required occupancy separations, area separation
walls, and draft -stop partitions shall be maintained and
shall be properly repaired, restored or replaced when
damaged, altered, breached, penetrated, removed or
improperly installed. (UFC 10.401)
2. All interior wall covering materials shall be
fire - resistive or shall be treated to be fire - resistive, so
as to result in a flame - spread rating as required by UFC
Appendix VI -C tables 42A and 42B. A certificate of the
flame spread rating is required to be delivered to the
Tukwila Fire Department. (UBC 4204) (UFC 10.401)
3. Maintain sprinkler protection for all enclosed areas.
(NFPA 13, 4- 1.1.1) (UFC 10.302)
All modifications to sprinkler systems shall have the
written approval of the Washington Surveying & Rating
Bureau, Factory Mutual Engineering or Industrial Risk
Insurers, then by the Fire Department. No sprinkler
work shall commence without approved drawings. (City
Ordinance #1141) (NFPA 13, 1 -9.1) (UFC 10.307)
Contact the Tukwila Fire Department, Fire Prevention
Bureau to witness all required inspections and tests.
(NFPA 13, 1 -10.2) (UFC 10.307)
4. Exit hardware and marking must meet the requirements
City of Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575 -4404
Gary L. VanDusen, Mayor
Page number 2
of Uniform Fire Code Sections 12.104 & 12.114.
EXIT signs shall be installed at required exit
doorways and where otherwise necessary to clearly
indicate the direction of egress. Signs shall be of a
contrasting color with the surrounding area and shall
have letters not less than six inches high with a
minimum letter width of 3/4 ". (UFC 12.114a & 12.114b)
Exits shall be illuminated at any time the building is
occupied. An emergency system shall automatically
provide exit illumination upon failure of the main
power supply. (UFC 12.113a)
Yours truly,
The Tukwila Fire Prevention Bureau
cc: T.F.D. file
ncd
2211 WI t%( ,a0UNP
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rAKTITON 70 I.AULLIOIJ
5G•I4: I yZ" % 1 -011
GATEWAY CORPORATE CENTER
BUILDING #
SEATTLE, WASHINGTON
FILE COPY
1 understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans'does not authorize the violation of any
adopted cede or ordinance. Receipt of contractor's
copy of app d plan; aci:no' ' dged
By.
Date 7/f6 f
Permit No 574
3 II t11'L, 4 UP
A, WooP Gt-GGk I N
)4" x 2P;" DAk
t' 11x . OAK JAM
%I5( . OAK sfor
6MO K SEAL
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46.k Vt:IJ 66.8
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GATEWAY CORPORATE CENTER
BUILbING #
SEATTLE, WASHINGTON
tl.ock
Iiumuhumuiurr ZOW111unn 111111r
R61-1-M ktrAp TIot4
yy'i II- 0"
oil
oh; I2 -L.11 SILL- E t11cfJ
GATEWAY CORPORATE CENTER
BUILDING #
SEATTLE, WASHINGTON
R&M
WI!6GL&' ' IIJ
Rip GOIZICIPDRS
RLJ , 4 Z eAye
OOAK rF N 1. R.1 -IT�/p O �I,VATION
SC.ALC :
GATEWAY CORPORATE CENTER
BUILDING #
SEATTLE, WASHINGTON
4t Cltr of Tukwila
P MIr •IG DVAJfl N?
62C0 Sotirtirder labrod
- 11,Me.war++o+a+0111ee
aoa aun
• Ma.
)
PLAN CHICK
Date: {p'441
File: #89 - /Z.
Sheet / of
ORDINANCE COMPLIANCE CHECKLIST Uniform Building Code, 19 89 Edition.
PROJECT. / 4 (REF me, # 5Z47J
Erl. /2120 ce,47 W4 p, 7G 7
OCCUPANCY GROUP. 1E3'2: Q s I C+
L"J 2. TYPE OF CONSTRUCTION• 11-- IV ?priVkLEi ED,, ?E 6-zerq O..
2r3. LOCATION ON PROPERTY• _ �X /TT - J ag.
F---. 4. BLDG. HT./ NO of STORIES: 2 ~6 # J Ira* 6rra.'s Al G
W5. FLOOR AREA: ainQo &l, = 66' 075 ' = 5086 C2',f ,f
g 6. OCCUPANT LOAD. 1OI .001:17/t00 . 3
(D K. 1 Ta4R2u tZ g35s */ice Z41#
1441.1. (Co ~ow SP) - 1- 3oc 0 .
• �'°7?T`�4. CMG C•'D /,
01. EXITING REQMTS. ..4. L � �i D :A, ONE E x
7-Am FAnl
,• o,ks
?"40 COMpl/ANCEil 33.049 -0414 ,4W;
4447 6.t UES (5) < ID OGG u ra t TZE.MtkiNDa12.
opk.S nXns -POLO MOIL / /NDA.
gXrriliq 0,16
DETAILED REQUIREMENTS
8. OCCUPANCY.
U TYPE OF CONSTRUCTION: O 14 A? 62 Pit CONSIneb &K V' 'Per4/ ?0
10. ENGINEERING REGS. & REQMTS: VC'
1:i15-1-. COMPLIANCE w/ W.S.E.C.
12. COMPLIANCE w/ Chapter 51 -10 W.A.C.
N'TES:
t david kehle,arc t.tect
12878 interurban al io.
seattle, washington 8168
(206) 433 -8997
TD `,I-ty o� -174/< / tL1 A
WE ARE SENDING YOU
❑ Shop drawings
❑ Copy of letter
GATE �
��
JOB l s
GG/7 O
ATTENTTyler
Attached ❑ Under separate cover via
X- Prints
❑ Change order
❑ Plans ❑ Samples
"1::) a-t \L 51 -tME. .
the following items:
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
Z
6
Fog- NetIZA
THESE ARE TRANSMITTED as checked below:
For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
❑ Resubmit copies for approval
❑ Submit
❑ Return
copies for distribution
corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:
It enclosures are not as noted. kindly notify at once.
r
BUILDING PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
PROJECT NAME
rn09
SITE ADDRESS
, 1 aVD 66.-
SUITE NO.
11O
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so that
any time the status of the project may be ascertained.
• Plan corrections shall be completed and approved prior to sending on to the next department.
• Any conditions or requirements for the permit shall be noted on the plans or summarized concisely
in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ".
BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION
(to be filled out by Plan Checker)
USE
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE OCC.
FEET LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL
SQUARE FEET
TOTAL
OCC. LOAD
TOTAL
DEPARTMENTAL REVIEW
"X" in box Indicates which
departments need to review the project.
DEPARTMENTS
BUILDING -
initial review
10-15-89
DATE
.PAM
(ROUTED)
QUIREMEI
.:....:..............
CONSULTANT: Date ent -
XFIRE
(01-2 Li - 0)
INIT:
FIRE PROTECTION: Sprinklers (l Detectors ( N/A
INSPECTOR: S � 2
FIRE DEPT. LETTER DATED:
O PLANNING
`'110
O PUBLIC
WORKS
INIT:
INIT:
ZONING: - BAR/LAND USE CONDITIONS? f Yes MNo
REFERENCE FILE NOS.: acv JYI erAJ '(m, Cal eta t2k e,6
MINIMUM SETBACKS: N- E- W- Pee/1
O Yes A'No
UTILITY PERMITS REQUIRED?
PUBLIC WORKS LETTER DATED:
O OTHER
INIT:
,18( BUILDING -
final review
REVIEW COMPLETED
TYPE OF CONSTRUCTION:
UBC EDITION (year):
865
PERMIT NO.
/
CONTACTED
DATE READY
g7- -7 - cl
DATE NOTIFIED
.% ---0
BY:
(init.
PERMIT EXPIRES
i.t'j 'VI
2nd NOTIFICATION
3RD NOTIFICATION
BY:
(init.)
BY:
(init.)
AMOUNT OWING
06/011/N
CITY OF TUKWILA
BUILDU'3 PERMIT
APPLICATION
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
PLAN CHECK
NUMBER a9_ /2D..
APPLICATION MUST W
FILI ED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION
AMOUNT
RCPT #
DATE
BUILDING PERMIT FEE
.. .3:370 el
604S
r.--F -t-s
PLAN CHECK FEE
i9 00.
Woos'
4 Y S5
BUILDING SURCHARGE
,T4 z
0,,44-
e Y E5'
ENERGY SURCHARGE
ZIP *1(
CONTRACTOR�j} t'
PHONE
OTHER:
s ,s 4 a
WA. ST. CONTRACTOR'S LICENSE #pifj• 01 , `ry'%' bez, Iv. vcrcv.cis.
EXP. DATE
TOTAL -
SITE ADDRESS
12"1 4 £ wY 4
SUITE #
/, -' 11 o
VALUE OF CONSTRUCTION - $
e *bi
PROJECT NAME/TENANT
6/0iNlh tar ‘E� . �••A .
ASSESSQR_ACa #
Q�:77`
TYPE OF U New Building L • • '• ►..1 Tenant Improvement (commercial) U Demolition (building)
WORK: 0 Rack Storage 0 Reroof Remodel (residential' 0 Other
(
DESCRIBE WORK TO BE DONE: 1W-A-61,1.,. ViA, , Fl 141 W I LING(
I1`1�0LL -414e I Hate C012YZIIzl2 p c 1 Ifif2.1,114e u- 117W EIDIV12,
II ,�,,,,,J,
Ib14'1" LiA
BUILDING USE (office, warehouse, etc.)
nIrVO
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? No Yes IF YES, EXPLAIN:
I'"r 3Z, 1to 1, 3z
SQUARE FOOTAGE - Building: «077 Tenant Space: Area of Construction-
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNERvi7, r j�,'
PHONE I • Ior5
ADDRESS 128P�19 114,152teetti _ ,.
v/v
ZIP *1(
CONTRACTOR�j} t'
PHONE
1,gm
ZIP
0
ADDRESS ,�
p .�X i3 O `� 1eiI�
WA. ST. CONTRACTOR'S LICENSE #pifj• 01 , `ry'%' bez, Iv. vcrcv.cis.
EXP. DATE
ARCHITECT 5.1617, Vfiu
PHONE ' al l
ADDRESS zifr-ify tRiyAleftl k
ZIPGI(?S
1H
TP
R.EBY CERTIFY THAT1 HAVE READ AND EXAIVIINED;THIS APPLICATION AND KNOW THE SAME TO B
UE;AND CORRECT :AND I :
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
SIGNATURE
greilMFft
PRINT NAME
/! CITYlZIP A 1
ra
ADDRESSIW
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill
out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts
are available at the Building counter which provide more detailed information on application and plan submittal
requirements. Application and plans must be complete in order to be accepted for plan review.
VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of
Community Development prior to application submittal. Contact the Permit Coordinator at 433 -1851 prior to
submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be
reviewed and is subject to possible revision by the Building Division to comply with current fee schedules.
BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or
contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent
to submit this permit application and obtain the permit will be required as part of this submittal.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of
application shall expire by limitations. The building official may extend the time for action by the applicant for a
period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform
Building Code (current edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements, please
contact the Department of Community Development Building Division at 433 -1849.
DATE APPLICATION ACCEPTED
6 -- ?
DATE APPLICATION EXPIRES
/
03/30/89
•
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sngInar
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Energy:Ca ItiaJfations.stenipedby a WaShirigiOn..StiteitiOena.
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WoikingdraViings;.:•itainped by.aWashingtonStraer iice
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• Elevations
CM �awings
iCOrripletitd...UtilitYpertnit appon (one for entir.
Six (6)s.ts of csvd drawings
'IVOTE:::::Soa utility pemtit app#caton • and ChtiCklilit f Or'
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. . . . .
NAM STORAGE
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„ . ..
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RESIDENTIAL
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Leg descption
. .
AssessOrAccount
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.. . . .
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Asiessor Account Number
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te u
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• ,.■ Site plan
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.i!.■ Roof plan
elevations: (all
■Building 4:M1$ -section •
Washington State Energy Code dsta
Completed utility penit application
Slx (6) sets of site plans showing utilities
• NOTE: Buildng site plan and utility site plan may be combined.', See
utility permit application and checidist for specific submittal requirernents:.!
Adcitionei lopograpfikal and soils ittfottnabon may be required
site conditions. •
ESIDENTIAL: ••••• • ••
l':OOMpletOd building aPpliCadOr((onaforeach:ptru,
E Assessor Account
ount.
Two (2) sets of .working drawings whlch
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I understand that the Plan Check approvals are
subject to errors and OMIS5ICI1S and approval of
plans' does not authorize the violation of any
adopted cc\•_:o. cr ordimmco. Receipt of conlractor's
copy 'of approved pLans ackilowl,edged.
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