HomeMy WebLinkAboutPermit 5652 - Bedford Properties - OfficeBUILDING PERMIT
w
(POST WITH INSPF`'tTION 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. of
DATE ISSUED: .7 `/
I lie,- SS
12720 GATEWAY DR.
FEES
DESCRIPTION
AMOUNT
RCPT #
- DATE
BUILDING PERMIT FEE
$460.00
037
6 -7 -89
PLAN CHECK FEE
299.00
037
6 -7 -89
BUILDING SURCHARGE
3.50
037
6 -7 -89
ENERGY SURCHARGE
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
OTHER:
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL -
762.5n
TOTAL
SQUARE FEET
TOTAL
OCC. LOAD
PROJF CT Ir1FOITMATIOr
I # 107
V LU
• •
50,000
PROJECTNAME/TENANT BEDFORD PROPERTIES
TYPE OF 0 New Building Addition Tenant Improvement (commercial) U Demolition (building) U Grading/Fill
WORK: Q Rack Storage Q Rerool 0 Remodel (residential' 0 Other:
DESCRIBE WORK TO BE DONE: r, an, c_QA ,p 3 cD 9 - 9 Q
NEW OFFICE IMPROVEMENT WO-Ch t.
ASSESSOR ACCOUNT#► 000480 -0008
PROPERTY OWNER BEDFORD PROPERTIES
PHONE 241 -1103
ADDRESS 12870 INTERURBAN AVENUE S. TUKWILA, WA
ZIP 98188
CONTRACTOR SSG CORP
PHONE 367 -9393
ADDRESS P.O. BOX 33970 SEATTLE, WA
ZIP 98133
WA. ST. CONTRACTOR'S LICENSE # SSGGCO249JI
EXP. DATE 5 -28 -90
ARCHITECT PAUL SIEBERT & ASSOC
PHONE
ZIP 98iU1
ADDRESS 1932 FIRST AVENUE SUITE 409 —5EATTLETTA
TYPE OF CONSTRUCTION: I I -N UBC EDITION (year)::
SETBACKS: k _ _ _ _
FIRE PROTECTION: Sprinklers 0 Detectors ❑ N/A
CODE COMPI IANCE
ZONING:pH BAR /LAND USE CONDITIONSUYesJNo_
CONDITIONS (other than those noted on or attached to permit/plans):
COMPANY: , Cc- 6 C7'70
USE i
Ochice 1,.Q
/
/
l
/
Rom 1_
T
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL
SQUARE FEET
TOTAL
OCC. LOAD
/
/00g
a
/6'6' 8
.
TOTAL
/664
a8
TYPE OF CONSTRUCTION: I I -N UBC EDITION (year)::
SETBACKS: k _ _ _ _
FIRE PROTECTION: Sprinklers 0 Detectors ❑ N/A
UTILITY PERMITS REQUIRED? (throup
Q Yes �No Public Worksl
ZONING:pH BAR /LAND USE CONDITIONSUYesJNo_
CONDITIONS (other than those noted on or attached to permit/plans):
COMPANY: , Cc- 6 C7'70
API'HOVED FOR BUILDING
ISSUANCE BY: .1 / - .,dAr , OFFICIAL
,
DATE:
7 /6
I hereby certify hat I have read a • _ �amined this permit and know the same to be tr e 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: if p I e
DATE: 7/ � f
PRINT NAME: D4y/ 7,# , '!aj
COMPANY: , Cc- 6 C7'70
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.
CERTIFICATE OF
OCCUPANCY NO.
DATE ISSUED:
BUILDING PERMIT
(POST WITH INSI,...: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. ,�p5 a
DATE ISSUED:
12720 GATEWAY DR.
FEES
DESCRIPTION
AMOUNT
RCPT 0
DATE
BUILDING PERMIT FEE
$460.00
037
6 -7 -89
PLAN CHECK FEE
299.00
037
6 -7 -89
BUILDING SURCHARGE
3.50
037
6 -7 -89
ENERGY SURCHARGE
SQUARE
OCC.
LOAD_
TOTAL
SQUARE FEET
OTHER:
-z.a
ma
;.
TOTAL •
762 _ fin
/1i/i
a
PROJECTNAME/TENANT BEDFORD PROPERTIES
TYPE OF D New Building Addition Tenant Improvement (commercial) U Demolition (building) iJ Grading/Fill
WORK: 0 Rack Storage 0 Rerool ❑ Remodel 'residential) 0 Other
DESCRIBE WORK TO BE DONE:
ASSESSOR ACCOUNT a 000480 -0008
NEW OFFICE IMPROVEMENT
PROPERTY OWNER BEDFORD PROPERTIES
PHONE 241 -1103
ADDRESS 12870 INTERURBAN AVENUE S. TUKWILA, WA
ZIP 98188
CONTRACTOR SSG CORP
PHONE 367 -9393
ADDRESS P.O. BOX 33970 SEATTLE, WA
ZIP 98133
WA. ST. CONTRACTOR'S LICENSE # SSGGCOZ49J I
EXP. DATE 5 -28 -90
'ARCHITECT PAUL SIEBERT & ASSOC
PHONE
WA
Zip 98101
ADDRESS 1932 FIRST AVENUE SUITE 409 SEATTLE,
USE
(j.h ti 83'07
/
CODE COMPLIANCE
/
/
/
N o
(through
Pu_bIic Works)
pure
SQUARE
OCC.
•.L
SQUARE
OCC.
•_.•
SQUARE
OCC.
..„11
SQUARE
OCC.
OA
SQUARE
OCC.
LOAD_
TOTAL
SQUARE FEET
TOTAL
OCC. LOAD
-z.a
ma
;.
-?
i.5t
/1i/i
a
/G
.z
TOTAL
i66,
a S
TYPE OF CONSTRUCTION: / EDITION (year)88
I -N 88
SETBACKS:
N- S- E-
BUILDING D
W-
FIRE PROTECTION: Sprinklers 0 Detectors ❑ N/A
UTILITY PERMITS REQUIRED? Q Yes
N o
(through
Pu_bIic Works)
ZONING:m_ BAR /LAND USE CONDITIONSEYes 1.4 No
DATE: 1 c
c5'
CONDITIONS (other than those noted on or attached to permit/plans):
/,
/7
APPHOVED FOR �
�� B
BUILDING D
DATE:
I hereby ce dy hat 1 have read a
this permit and know the same to be tr e a correct. All provisions
SIGNATURE: -/' / ..i /!� .
.:� lir .
/
DATE: 1 c
c5'
This permit shall become null and void if the work is not commenced within 180 days from the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection.
CERTIFICATE OF
OCCUPANCY NO.
1 DATE ISSUED:
VY 11!•11
:? ettn;$i , M,WK, 7:'re'l
CITY Of TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
INSPECTION RECORD
PERMIT #
Date
Type of Inspection
Site Address /92700 67-1e-Wei dpi e ' MI 7
Requestor
Special Instructions r . 4 pt. 1 a - . 4 . 3
Date Wanted ,2
Project
Phone #
('"/ a.m. p.m.
ip fz9 '�G i ?S
:367— "32.3
Inspection Results /Comments : L- 0-e 42 71 a eanve-sa6 ifs leih.- (0&-pr hi � 4dser
4 ' 5 3 c2 %.. `05 -iyJ, G! /,s ire /fe i`r i0A-bi ea/ 1j2e '6%a� -- /5-
4. h Ikaen ad MM'S /eI ei,d a Ge-,74- -r oGfiP_ `% ,,r &,,A.
)1-- , ,2e4.) c`'J 1 i 40
arc
p� ev Vee - •
s
�e
Inspector
Date FA
To
Date
rAl
Time
WHILE YOU WERE OUT
M M3,1
of 25 57r (Clop
39_3
Phone
Area Code Number Extension
TELEPHONED
✓PLEASE
CALL
CALLED TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
URGENT
RETURNED YOUR CALL I •--t —
F153
rig
kehle '
architect
February 9, 1990
City of Tukwila
6200 Southcenter Blvd.
Tukwila, Washington 98188
Attn: Mr. Norm Bray
Re: Permit #5652
Dear Mr. Bray,
Permit #5652 was not used because the tenant moved elsewhere.
Thank you.
Sincerely,
633 loyinfoll
•1\
1 It .
F.S..
• » • . ;
David Kehle
DK /mc
cc: Mr. Don Cunningham
(206)433 -8997 0 12878 INTERURBAN AVENUE SOUTH ❑ SEATTLE, WASHINGTON 98168
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER .5.67'/2 .
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).
Where corridor walls are required to be at one hour fire resistive
construction, interior openings for other than doors or ducts shall be
protected by fixed, approved 1/4 -inch thick wired glass installed in
steel frames.
10. 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 o Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575 -4404
Gary L. VanDusen, Mayor
June 22, 1989
Fire Department Review
Control Number 89 -120
Re: Bedford Properties - 12700 Gateway Drive, 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. The total number of fire extinguishers required for
your establishment is calculated at one extinguisher for
each 3000 sq. ft. of area. The extinguisher(s) should be
of the "All Purpose" (2A, 10 B:C) dry chemical type.
Travel distance to any fire extinguisher must be 75' or
less. (NFPA 10, 3 -1.1) (UFC 10.301b)
Extinguishers shall be located so as to be in plain
view (if at all possible), or if not in plain view,
they shall be identified with a sign stating, "Fire
Extinguisher," with an arrow pointing to the unit.
(NFPA 10, 1 -6.3) (UFC 10.301)
2. Exit hardware and marking must meet the requirements
of Uniform Fire Code Sections 12.104 & 12.114.
Exit doors shall be openable from the inside without
the use of a key or any special knowledge or effort.
(UFC 12.104b)
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)
City of Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575 -4404
Gary L. VanDusen, Mayor
Page number 2
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)
3. Maintain sprinkler protection for all enclosed areas.
(NFPA 13, 4- 1.1.1) (UFC 10.302)
All sprinkler drawings shall be prepared by companies
licensed to perform this type of work. Drawings shall
first be approved by the Washington Surveying & Rating
Bureau, Factory Mutual Engineering or Industrial Risk
Insurers, then by the Tukwila 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. All electrical work and equipment shall conform
strictly to the standards of the National Electrical Code.
(NFPA 70) (UFC 10.104)
All electrical wiring is to be inspected by the State
Electrical Inspector, Washington State Department of
Labor & Industries. (UGC 10.104)
5. 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)
6. 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)
,VILA
�
�- �, City of Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575 -4404
1908
fi
Gary L. VanDusen, Mayor
Page number
7. Your street address must be conspicuously posted on
the building and shall be plainly visible and legible from
the street. Numbers shall contrast with their background.
(UFC 10.208)
8. This review limited to speculative tenant space only -
special fire permits may be necessary depending on detailed
description of intended use.
Yours truly,
The Tukwila Fire Prevention Bureau
cc: T.F.D. file
nod
•
rLAKI
4mI 1•••■■•••••••••■ ." • •. • • . .
r-� rer 1
014toltuct 140.
oza
•0
1.•
•
• L1"'i
tp-r pt.t..44 twr riam. Ho _
A
VIc
Date: Go22 _____ _
File: #A1-(2.0
Sheet of
ORDINANCE COMPLIANCE CHECKLIST Uniform Building Code, 1985 Edition.
PROJECT: T'=.
. L... T -. _ Al
U 1. OCCUPANCY GROUP. 1E-Z, (-)FFUGE aSC
c TYPE OF CONSTRUCTION: N (pax piskMJT- za 7F0F)
[I . LOCATION ON PROPERTY • /161
4. BLDG. HT./ NO of STORIES.-a49 67-AVERS N/0
EltJ 5. FLOOR AREA.
f6. OCCUPANT LOAD: DFC t.L E. 114(06 /too = 15 &t.. wrsmwm ,
Got4F UsE 2.02/is = 13
26 occu FITS ThTaL LO.
•
alto
N�G
U EXITING REQMTS. CONF. RM. 7 CKtTS -Vow oAttit44'(0+E Pol.Rt ✓ /tk
Loon. Rw1. Exrts otREG11-9 1 E$%TCoaa. ✓ a, KI
C�J'tAl, OCC. L 'PPbM of %12j5,4trSE'GR. = < 1ta .'_• E( %TEI
K
.. •
A t
O. ✓
CCjl.k QLK, Arm VicZopote.O.
E21' DETAILED REQUIREMENTS
8. OCCUPANCY: i ..
Er-9. V• .mss. O: w41 r,....ov.,�. •' TYPE OF CONSTRUCTION :) ` ! QR1 ("114-JUL �1 4 li' f I
Erc'o. ENGINEERING REGS. & REQMTSC11ah �t�t�g�,J
1. COMPLIANCE w/ W.S.E.0
El 12. COMPLIANCE w/ Chapter 51 -10 W.A.C.OtK+
• wit'• /•.fir
OAP
tik-
NOTES:
Aitoir.o Qi4/ 4r 1e,
Zoe ,m1" .94'
-Z / -S
TO:
FROM:
DATE:
SUEJECT:
City of Tukwila
6200 Southcenter Boulevard
Tukwila Washington 98188
(206) 433 -1800
Gary L. VanDusen, Mayor
MEMORANDUM
6-1549
Odd( aiqz.
bp; Liitta oa -e, CtuvthvAa,44..
01/4)
/t ple s � j 1,6hzte• zaa 'iC a.)
y-e) . /9z-fi p,I .,_(p -- /5-E9
QkeJ/1rt6c.&.5
(10 /T2.MEMO)
JUs-r5- ; .Nr"
lit 400$ morn* Vim
•RPDRATION
.•'
•
DATE: TDIE:
PLEASE DELIVER FOLLOWIHG PAM iMMEOiiTSLY TO:
.44111.11111•11944•41■•••••••••■■•••■■•■••••
amay•■•■■■•••••■••....••••••••••taiwamewrowm.0■1■■•
, 4 ell
FROM:.
•••••■•■••M••••••■••••■•■■■••••■••■■••••••■•••••••••.•
w■••■••■•••••••....M.M••••••••■•••■••■•••••,
COMMENTS OR SPECIAL INSTRUCTIONS:'
4........r•■•••••••••■■••■■•■
1116111••■••••■■•■••■■•■••■•••••••••1•111111••■••••••••■•••••.•■•••••••■■■••••••••••••••••••■••••••••••
Ale
TOTAL Hymn OF PAGES, INCLUDING THIS FAX COVER SHEET:
...,..z.tityOU DID NOT RECEIVEIALL PAGES, PLEASE CALL: (auO) 3417-02103
• •11.0.•
BUILDING PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
PRQJECT NAME
CONTACTED
SITE ADDRESS
/:z7626 6- i6-eLvct
,ai -
SUITE NO.
/07
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)
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC,
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE (OCC.
FEET LOAD
TOTAL
SQUARE FEET
TOTAL
OCC, LOAD
TOTAL
DEPARTMENTAL REVIEW
"X" In box Indicates which departments need to review the project.
DEPARTMENT:
TEi'1N
PPROVED
UIREMEN'
....................
MMEN
BUILDING -
initial review i9 -11 19
(ROUTED)
CONSULTANT: Date Sent -
Date Approved -
,FIRE
INIT
FIRE PROTECTION:
rinklers
FIRE DEPT. LETTER DATED:
Detectors
( 1 N/A
INSPECTOR:
O PLANNING
ZONING: IBAR/LAND USE CONDITIONS? [-]Yes (-] No
INIT:
REFERENCE FILE NOS.:
MINIMUM SETBACKS: N- S-
E- W-
O PUBLIC
WORKS
UTILITY PERMITS REQUIRED? [ ) Yes [ j No
INIT:
PUBLIC WORKS LETTER DATED:
O OTHER
INIT:
,'BUILDING -
final review
6-0667
REVIEW COMPLETED
TYPE OF CONSTRUCTION:
UBC EDITION (year):
(c185-
PERMIT NO.
CONTACTED
s
DATE READY
DATE NOTIFIED
2nd NOTIFICATION
1- I
BY:
(init.)
BY:
(init.)
�
PERMIT EXPIRES
AMOUNT OWING
3RD NOTIFICATION
BY:
(init.)
BUILDING PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
FEES (for staff use only)
433.1849 1 „ i;, 1` -' ).:.,1 ...
. ' •, DESCRIIP.TION..: ' .
•(208)
AMOUNT
i1CPT N
DATE
BUILDINt3.PERMIT. :FEE.
. ..9:io•JO
'017-
4,-7-- Si
'PLAN CHECK
PLAN:, CHECK; FEE.. , , ; .�
9C.a: ,
c� 3.7
7 85
G
NUMBER ? l -' /-2 c
APPLICATION MUST BE
FILLED OUT COMPLETELY
BUILDING SURCHARGE.
14-a
is 3
.4
4 7 Y5
ENERGY SURCHARGE
..:
7
OTHER:
• ' TOTAL. -
w 74 ,21 j
SITE ADDRESS SUITE*
� ... .� - Ew ,. �
' '� 1 0
i VALUE OF CONSTRUCTION - $
SO acrd
PROJECT NAME/TENANT
C& of ' , e.
ASSESSOR ACCOUNT It
QQc7 Lic.o CC
-
TYPE OF New Buiidi Addition Tenant Improvement (commercial) U Demolition (building)
WORK: 0 Rack Storage 0 Reroof ,Remodel (residential 0 Other:
DESCRIBE WORK TO BE DONE:
/VOW .J9t P- /G C .. r ,1:
0U ,�,,. �'
BUILDING USE (office, warehouse, etc.) — �"
CD Fr (c c'-
NATURE OF BUSINESS: c ni Oev
WILL THERE BE A CHANGE IN USE? No Yes IF YE , EXPLAIN:
SQUARE FOOTAGE - Building: 6,0i Tenant Space; ,./ .) . Area of Construction:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR H .p AR000S MATERIALS IN THE
BUILDING? a) No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNER
L��� � I ►.�,a•�, -� �
PHONE ---
� Ll - ll 0 3
ADDRESS 1 �' - ■ (I 4 - < 4 /a
WA
_
ZIP of of $g? -
CONTRACTOR s S. �GD P 'PHONE
341?. 7373
ADDRESS p. D. J 2 k' 33q'2._0 t41 21P ii3/33
_LAM.
WA. ST, CONTRACTORS LICENSE 4 .53.- 6„ 4G G .a il 9 I
EXP. DATE c - aver 2_
ARCHITECT Ajt._ S_/ b2e- / t( 61.550
PHONE
ADDRESS
Z P ie
e T U vw rrc. '/O `J She w.. a_____.
ZIP
9$/ 0
:;;.;.:.1 HEREt3Y.,,CERTiF.Y_;TMiAT.:i
.TNUE. AND CORRECT
BUILDING OWNER
OR
• AUTHORIZED
AGENT
HAVE'RF„AP. AND... EXAMINEC,TH*.APPLICATION :AND
,`.AND I. AM'AUTHOtaIZED TO APPLY.FOfi �'I'HIS
SIGNATURE L���IZ
9eoFe • ..
KNOW THE :,SAME.TO Pg.
::
ATE
PRINT NAME no Lo , 6..,.,,a,mt.
PHONE 3v?.., 93g3
ADDRESS ,box T35 n
CITY/ZIPe 9fi"rs3
PHONE
? -93 9:3
}
CONTACT PERSON
r. �Oh� cV ryry >_?vS�\!v�
APPLICATION SUBMITTAL In order to ensure that your application Is accepted for plan review, please make sure to 1111
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 constnictlon 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 11 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 APPLICA ION EX • IRE
1 -`1 -S
DATE APPLICATION A EPT D
— -Z