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Permit 5726 - Southcentert Mall - House Dressing - Tenant Improvement
BUILDING PEMMIT (POST WITH INSPc. 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. 5 7.2 DATE ISSUED: 9 - p- FEES DESCRIPtION AMOUNT RCPT Illy DATE BUILDING PERMIT FEE 88 , 1434, 8- i4 -R9 PLAN CHECK FEE BUILDING SURCHARGE 4.50 ac,*5 5 -/s -el ENERGY SURCHARGE OTHER: TOTAL • 463.50 PLAN CHECK #89 -210 Pf10JF('T 1111Of1MATIOt 723 Southcenter Mall 1 •` e•`, 28,500 PROJECT NAME/TENANT Ho s 1. TYPE OF • New Building Addition IS Tenant Improvement (commercial) • Demolition (building) Grading/Fill WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) 0 Other - 1 - III ASSESSOR ACCOUNT* • DESCRIBE WORK TO BE DONE: Remodel existing retail space: new wall cover, new ceiling tile, new flooring, new glass storefront with marble, and some new lighting. PROPERTY OWNER Jacobs Visconsi Jacobs PHONE 216 -892 -2300 ADDRESS 25425 Center Ridge Road, Cleveland, OH [ZIP 44145 CONTRACTOR , • r 1 PHONE A — 1 1 ADDRESS 701 Dexter Avenue North, Seattle, WA EXP. DATE ZIP 98109 2 -01 -91 WA. ST. CONTRACTOR'S LICENSE # GL ADCG I150GD ARCHITECT Ken Maclnnes PHONE 343 -7744 ZIP 98104 ADDRESS 108 South Washington, Seattle, WA CODE COMM IArJCE USE -) FLOOR - SQUARE OCC. 1• Stora•e /B-2 / / SQUARE OCC. 9OUAFE OCC. SQUARE OCC. SQUARE 3 2n4 -z.11 6.• TOTAL TOTAL • • 1st 1,548 5? 2q7 1,845 53 TOTAL 1845 53 TYPE OF CONSTRUCTION: I I -N UBC EDITION (year)88 SETBACKS: N _ S - E - UTILITY PERMITS REQUIRED '] Yes ®N o W - rough (thrinklers - . . . FIRE PROTECTION: ®Sp 0 Detectors 0 N/A ZONING: C -P BAR /LAND USE CONDITIONSOyes &7No CONDITIONS (other than those noted on or attached to permit/plans): APPROVED ISSUANCE BY: OFFICIAL DATE: 7-110-89 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: 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: vtiIC•ti CITY OF TUKWILA Department of Community Development - Building 6200 Southcenter Boulevard, Tukwila WA 98188 (206) 433 -1849 idUILUU1(i PERMIT (POST WITH INSPL�TION CARD AND PLANS ANs BUILDING PERMIT NO. DATE ISSUED: 5 7.2 C., 2_ /2 -�7 IN A CONSPICUOUS LOCATION) Division DESCRIPTION FEES A N RCPT 0 DATE BUILDING PERMIT FEE PLAN CHECK FEE BUILDING SURCHARGE ENERGY SURCHARGE OTHER: 81.00 1434 8 -14 -89 4.50 L),/ •ix y PLAN CHECK #89 -210 TOTAL 463.50 Lr.1 1 P9OJ,ECT !NOR m A T)ON SI • •oR S 723 Southcenter Mall 5U1 # VALU • •N lU T1ON -$ 28,500 PROJECT NAMEJTENANT ASSESSOR ACCOUNT # Hoitn Dressi 26 ?304 -9023. i13 TYPE OF -0 New Building Addition U Tenant Improvement (com�ercial) Demolition (building) LJ Grading/Fill WORK: 0 Rack Storage 0 Reroot 0 Remodel (residential) 0 Other DESCRIBE WORK TO BE DONE: Remodel existing retail space: new wall cover, new ceiling tile, new flooring, new glass storefront with marble, and some new lighting. PROPERTY OWNER Jacobs Visconsi Jacobs PHONE 216 - 892 -2300 ADDRESS 25425 Center Ridge Road, Cleveland, OH ZIP 4_4145 284..5050 CONTRACTOR • d_ Conctrurtinn Grnup PHONE EXP. DATE PHONE ADDRESS 701 Dexter Avenue North, Seattle, WA ZIP 98109 ? Ol q(l 343 -7744 WA. ST. CONTRACTOR'S LICENSE # G1,9DCG I150CD ARCHITECT Ken Maclnnes ADDRESS Seattle, WA ZIP 98104 108 South WashincLton, -� USE PI) FLDOR 1 15t .1htta i 1 SQUARE Fi FT /R -2 , OCC. LOAD Storage / 8 -2 COQ COMPLIANCE / / / DATE: 1 a" / a1. ° •.,. SQUARE FEET OCC. LOAD SQUARE Fat OCC. L P SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD TOTAL SQUARE FEET TOTAL QPC. LOAD 1,548 i2 2A7 1 1,845 53 TOTAL 1 845 53 TYPE OF CONSTRUCTION: I 1 -N UBC EDITION (year)88 SETBACKS: _ _ _ w _ FIRE PROTECTION: ©Sprinklers Q Detectors 0 N/A UTILITY PERMITS REQUIRED? (throug [) Yes ® N o a .0 . • ZONING: C -p BAR /LAND USE CONDITIONSEYes No • CONDITIONS (other than those noted on or attached to permit/plans): DATE: 1 a" / a1. ° 1. - :"1 APPHOVED '•' ISSUANCE BY: �!b I hereby certify that of law and ordinances this permit does not regulating construction / •'� ��r BUILDING � �,� /_i /. e OFFICIAL OATS: p 9 /Z—g I have read and examined this permit and know the same to be true and correct. All provisions governing this work will be complied with, whether specified herein or not. The granting of presume to give authority to violate or cancel the provisions of any other state or local laws or the peilormartce or work. I am authorized to sign for and obtain this building permit. SIGNATURE: • „C,`�, w DATE: 1 a" / a1. ° PRINT NAME: ' ` � CD ei „,� COMPANY: G pL LL'Z 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 DATE ISSUED: CCUPANCY NO. 7sci: I 11 INW:TN kYv JZiH:ASPtiC: kii; iAldil. S! T.f YMkY' nsu» x,: v,T^ r w. K.a a�:x� on: i': *'v' . rswuru ,wSw.+abrara:aT.�r. +trr.:�+r xAti.!tiaL1 CITY OF TUKWILA Building Division 6200 Southcentar Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address Requestor Special Instructions INSPECTI N RECORD / °; UA PERMIT # 5 7 OD 6 Date /0 " 2 e 1 Date Wanted /o -/)- j a.m. Project Phone # Inspection Results /Comments: _- ---------,_ Inspector Date /d L3/F, t"t`ci,1 Jew.c rs . CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila. Washington 98188 (206) 433 -1849 INSPECTI N RECORD /0:(5-- PERMIT # 5-7 -IS Date Type of Inspection - / . Date Wanted 41.02.4., a ®. 9 , ,F5 (a.m.)p.m, Site Address -7) 3 - S yl,..,Q.) Project aciz4L0 Requestor / 'i 471- -fcs Phone # 2 '.) -- 4?• 2 97 Special Instructions InspectionRes its /Comments: �i�_ ' ./1'!a Inspector Date PA Tfr at1 F411V5d4f4IMCAlxi wwarwr. »rix +.r+v..Y.: CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection 5 6 - c x i e F- c'7C krt Site Address 7-2 . 3/c /74:;,01// Reques tor Special Instructions /7'dfr y INSPECTION RECORD Z, 23 4-4/4 PERMIT # Date /© % ?l / Date Wanted .D /S� '/ a.m. p.r f Project 2..i5 -e ' /�C'.�5 i s� g Phone # Insp ec/t�ion Res ults /Comments: // e noz- fee p /G4" f.ee.- i5.ee,e �.'4.• /eG- -eot.- ..5 6 d-7 ;i e h.e 4,7 �0 . Inspector Date /© CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433-1849 INSPECTIQ..N RECORD PERMIT # Date Type of Inspection )54-kato10.29 Site Address 7 2,3 50 CitOrA... A'1/44f Requestor btabl.,117 Special Instructions _ 2.. - 3- Date Wanted 412-3-15r, Project An/ 4? oae" )15 Phone # Inspection Results/Comments: T).7 Le 12--e_fr- S/ze-p-si InspectorZJ.. Date . &I ttiri7. deCt ikr OW496• 01CX:!Y11..YaryW.,YA••"•••cma•••• ••. CITY OF TUKWILA Building Division 6200 Tukwila,,tWsshinotonul98188 (206) 433 -1849 C. Type of Inspection it-re9 s7r Site Address 723 55//&_, /rl&,r'i Requestor /IV 42- Special Instructions / „r....r�n.aw�'nwrw.niMrnw�v xertcy>x- !.ur92Rl5ra.arKYYSa::a �.l`Sait9W.1.9.M c ,t)ar�;'�.yrw:Idrp) INSPECTION RECORD PERMIT # 57.-2 Pvc±,irr: vareiar,'�Y,i.srv+': vni: Date ?/..2g/g1 Date Wanted y � Project /4c/Sr_ Phone # Inspection Results /Comments: ar.4,1-41 avl /l Inspector Date ?_f • CITY OF TUKWILA Building Division 6200 Southcenter Blvd. Tukwila, WA 98188 433.1845 • Perm, • i t No % Date / r ? % . r� Job Address ,' 3: r ? C:(3' 1 /'71.( / / CORRECTION NOTICE The following items are found to be in violation of Ordinance Gc:"r ~e �'f7�7 -t <.�� ? t�'r%C/Yl�'� / (lI/ (.••= ri1 / S �! G /iC - Y.'/'-, tmat,Pr{nxrv,+rtuwlisAM.mmrxaRa tikrwwmiwvs+mw*wranikmai and shall be corrected. Signed ,k ,0-6/;k7( Building Official /lfl pector CITY OF TU KVL LA Central Permit System �ntrol No. Permit No. 5-7 iC FINAL APPROVAL FORM TO: ❑ Building ❑ Planning ❑ Public Works IN Fire Dept. ❑ Police ❑ Parks/Recreation Project Name /4 ./ c 5-5'" Address 7 2 / re°-i - /% 4 // Type of Permit(s) 7~ 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: .�'` e ../ 3 Authorized Signature Date CPS Form 3 V 6233064 ■SON ENGRS M 10/04/89 107 SWENSON/ ENGINEERS 1411 4th AVENUE, SUITE 500, SEATTLE, WA 11101 October 4, 1989 Ken MacInnes 108 S. Washington Suite 204 Seattle, WA 98104 Re: House Dressing Dear Ken: P01 2011023.4955 On October 3, 1989, I made a mite visit to House Dressing to inspect the storefront structure. The structure conforms to the requirements of the Uniform Building Code, 1988 Edition. T trust this has addressed your concerns at this time. Please call with any questions. Sincerely, en'aie Gary M. Swenson, P.E. cc: Dave Larsen, Tukwila Building Department Cit of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433-1800 Gary 1. VanDusen, Mayor Plan Check M89 -210: House Dressing 723 Southcenter Mall THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER TUKWILA BUILDING PERMIT NUMBER____ 7 4__. 1. No changes will be made to the plans unless approved by the Architect and the Tukwila Building Division. 2. Electrical permit shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (872 - 6363). 3. All mechanical work shall be under separate permit through the City of Tukwila. 4. All permits, inspection records, and approved plans shall be posted at the job site prior to the start of any construction. 5. All structural welding to be done by W.A.B.O. certified welder. 6. Any new ceiling grid and light fixture installation is required to meet lateral bracing requirements for Seismic Zone 3. 7. Any exposed insulations backing material to have Flame Spread Rating of 25 or less, and material shall bear identification showing the fire performance rating thereof. 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), Washignton State Energy Code (1989 Edition), and Washington Stae Regulations for Barrier Free Facility (1989 Edition). 9. All required fire - retardant treated wood shall bear identification showing the fire performance rating thereof. 10. Validity of Permit. The issuance or granting of this permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code' or of any other regulation or ordinance of this jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. City of Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 Gary L. VanDusen, Mayor September 8, 1989 Fire Department Review Control Number 89 -210 (513) Re: House Dressing - 723 Southcenter Mall, 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. Maintain fire extinguisher coverage throughout. 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) The mall grill is a required exit. This must be operable from the inside without a key or special effort. Exits serving more than 50 people shall be provided with an illuminated exit sign. 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 City of Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575-4404 Gary L. VanDusen, Mayor Page number 2 drawings. (City Ordinance #1141 & NFPA 13, 1 -9.1) (UFC 10.307) Maintain sprinkler protection for all enclosed areas. (NFPA 13, 4- 1.1.1) (UFC 10.302) (This includes large accessible display area and areas with ignition sources such as electric signs or grill motors) 4. In order to provide you with the fastest police and fire protection under emergency conditions, please post your suite, room or apartment number in a conspicuous place near the main entry door. Numbers shall contrast with their background. (UFC 10.208) 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) 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) Yours truly, The Tukwila Fire Prevention Bureau cc: T.F.D. file ncd TELEPHONE MEMO PERSON CONTACTED: 95i4 1 A 4 gAliteMed PERSON CALLING: DATE: INFORMATION ITEMS: e (hituAillat , Akfrt_zsA449A6the4, A .40-1 Cavvvi,t/tekObi Date: k File: #51-(2/0 Sheet of ORDINANCE COMPLIANCE CHECKLIST Uniform PROJECT: &&5_51/19 Building Code, i9 $g Edition. 1. OCCUPANCY GROUP. 6 -a 2. TYPE OF CONSTRUCTION: V-kV 3. LOCATION ON PROPERTY. `IVA • 4. BLDG. HT./ NO of STORIES: Ji 5. FLOOR AREA: /31-15 t2 6. OCCUPANT LOAD: 12.11 —72d..D /6-4/F6 Gce: Cot 52. -5tn,^aqe aGorh acc, Icy t rot-cLP S3 L!_J 7. EXITING R EQMTS. L 0C) - -' re/- Lured i412er". 7 -46J-0 35 /L/ ►.ar1 % .ON edr. 'EX(': t 3 sp►up (j)if( coN wo&. A it. -Ire .a. 1SFS.C.. 4E•. 10 im. :7ro sG•L. Arcot, or c f,A,M a)& 4 CL)s 151/4-1".A.4.-Les...... - r DETAILED REQUIREMENTS �.J 8. OCCUPANCY El 9. TYPE OF CONSTRUCTION: 10. ENGINEERING REGS. & REQMTS: fl11. COMPLIANCE w/ W.S.E.C. 12. COMPLIANCE w/ Chapter 51 -10 W.A.C. El NOTES: /..10 .i1 i /I 1 r: �ECHA�VICAL RMIT APPLICATION TRACKING PLAN CHECK NUMBER PROJECT NAME,/ PROJECT NAME,/ v `f NOu3P 1J 13331 n SITE ADDRESS 1Q -73 S.uhc2nr .or 'Mall SUITE NO. DI O 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 ". DEPARTMENTAL REVIEW "X" In box Indicates which departments need to review the project. `IN lR MENT ©MIME/ BUILDING - initial review O FIRE CONSULTANT: 0 Date Approved R•U ED ��_�(�TiV *i:I•]�it!�'�r,, lI��1,�1♦ Detectors Er FIRE DEP L 11 R DATED: . �at4:7 � to] f :tiTI ING REQUIRED? Q e VI No IP ' III 4 NCE E NOS.: A 1 O PLANNING O OTHER BUILDING - final review A INI REVIEW COMPLETED r A1E44 4 WilLeJ L MIIIIIIII. M' • PERMIT NO, v `f CONTACTED DATE READY DATE NOTIFIED BY: (init.) PERMIT EXPIRES 2nd NOTIFICATION BY: (init.) AMOUNT OWING M :15 3RD NOTIFICATION BY: (init.) 03/30 /89 BUILDING PERMIT APPLICATION TRACKING PLAN CHECK NUMBER o PROJECT NAME I-I O U s-e ,b res5i n 71 SITE ADDRESS J 1a :.")Cxyfic.t nier Mall SUITE NO. alb 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 OCC. FEET LOAD G2G7 l SQUARE OCC. FEET LOAD SQUARE OCC. FEET LOAD SQUARE OCC. FEET LOAD TOTAL SQUARE FEET /8 q5 TOTAL OCCU- PANCY LOAD DEPARTMENTAL REVIEW "X" in box Indicates which departments need to review the project. PAR 1BUILDING - initial review % I �?- .a°asS9 (ROUTED) UIREM CONSULTANT: Date Sent - IX FIRE 9- 6 -89 O PLANNING INIT: --Y96 ME Date Approved - 004c, i2Wi -/C on 5 Oam be, Ceve.rec/ Wat.4 S +' FIRE PROTECTION: (� Sprinklers L 1 Detectors l N/A FIRE DEPT. LETTER DATED: le((%1 INSPECTOR: 5%3 ZONING: C- 4-; IBAR/LAND USE CONDITIONS? ( ]Yes No INIT: REFERENCE FILE NOS.: O PUBLIC WORKS INIT: MINIMUM SETBACKS: N- S- UTILITY PERMITS REQUIRED? O Yes No PUBLIC WORKS LETTER DATED: E- W- O OTHER BUILDING - 7-/2-g1 final review INIT: y- /Z-59 INIT: 12 • E OF CONSTRUCT UBC EDITION (year): 1 q 8g REVIEW COMPLETED PERMIT NO. s -7,,7(;) CONTACTED DATE NOTIFIED Ken 9 - , 1 oc E rnn_c `> Q - !'c"1 (roil.) DATE READY PERMIT EXPIRES 2nd NOTIFICATION BY: (init. AMOUNT OWING c-___ • ,� 3RD NOTIFICATION BY: (init.) 03/30 /09 BUILDI1 3 PERMIT APPLICATION CITY OF TUKWILA Department of Community Development - Building Division FEES (for staff use only) V /V Vwun.v►nv1 LJVHfV •Q/V, ...r.•vrtc• • •r1 "' �� (206) 433 -1849 DESCRIPTION AMOUNT FiCPT. # DATE :. BUILDING PERMIT FEE ; r •P°•'5 9- /2 P i. PLAN CHECK NUMBER , " (2)0 APPLICATION MUST BE FILLED OUT COMPLETELY PLAN CHECK FEE . . ,Fy9' ) �jrao� d' ,� BUILDING SURCHARGE 41.50 , �Qa . 9:./2 , 7 ENERGY SURCHARGE OTHER: TOTAL • /� , SITE ADDRESS 7 3 , 01, - it "gi1'TE #/11 • ' ' VALUE OF CONSTRUCTION - $ PROJECT NAME'TENANT N-) -2 e., ►:- (1- _�,(Nso ASSESSOR ACCOUNT # '2Jo230 - OZ3-G Li TYPE OF ❑ New Building U Addition N.Tenant Improvement (commercial) Demolition (building) WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other* DESCRI E WORK TO BE DONE: , f,.to(�o , yi-•, e,pltl_. <7(7,4..c- r-._.. - t'4Evi ta! -L-- r O- -r>tt , tyr_N.i .,,-r• E.A. L.., 14(47 7 ti..�, 4 �d ,o�t2i. c -4 co , 1- i,E.4../ [vl-..�.4G S'r"°2- [��r'f�`�T :!/ riim {—e • ,(e_4- -�- '.7-� r 6 ..r10-.1C`41 4!G lle! Cs.( G 1......1 1411( -{(4' BUILDING USE (office, warehouse, etc.) NATURE' OF BUSINESS: t _`ti.A , (L, WILL THERE BE A CHANGE IN USE? isJ No U Yes IF YES, EXPLAIN: SQUARE FOOTAGE - Building: Tenant Space: II vO ri. i Area of Construction: 11 Zp FT2- WILL THERE BIE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? N No ❑ Yes IF YES, EXPLAIN: PROPERTY OWNER - iON E TCtCbk15 x/' f f SI G/Lj /V) ADDRESS ( 0-,1I� 6( Q-Q A 5 ( ,a1j Kill.�.C/ '� .� '24 P iii -g � CONTRACTOR (al t �"� 4 -Al J P99O N E ;agmfdr•� r�isce V ZIP ADDRESS 1 �)444- "1 WA. ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT {, MA.c_, ( mom , PHONE 4)4-.5 .....-y1 ,t4. ADDRESS i v __ 5. �?,�, 1- - 1(4-q� 1 Cl- j 1 `�11 ZIP ()al p - 1 HERger CERTIFY THAT 1 HAVE TREAD AND EXAMINED :THIS AIPL.IGATION ANO KNOVC: E SAME TO BE TRUE AND.CORRECT, AND 1:AM A T : ORIZED T :APPLY, OR THIS :;PERMIT. BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE C/,`- '/ DATE 0 • 9 ,y PRINT NAME �.� M A. c.. � hbtJf✓ `� PHONE 4.71$ -.11,11 ADDRESS �, \1/41,06e.-'7 4-1 NK,,,--Tn,4 (�` re- CITY /ZIPLj -rr(4 98(04 i �i�` " CONTACT PERSON ���� PHONE 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 133 -1951 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_ fge_schedates 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 DATE APPLICATION EXPIRES a -Ad o 03130!6 COMMERCIAL SUBMITTAL CHECKL.IST ti*.CONERCA4:„Bui*409/4 blinding permiiiepplicadrin .(One.kireixch:structtire Afl ce osoctoauumInpt e of d .[:------H•'''!!!!!'.. •!?":•:. (2):'' •:°::•.:! th,-,::•:.• foga ogi pg.!: ...... . ::::::':i::::::::.::::::::.:..:::,.::::,::::::...:•:::..::„,........,, t, ...... ..... lied —iTve let' • Bide: liCef1...::,..,.......„..... ,. ......:::.:,,:::.„ :.,..••• ,..• ',;:....::...,•.:. • .• •',.,...'...„ ... ---I.:ingiflefr ':,•'.:::..,...'•,•::,,:::::.;1ii;iiiiilipi.i..,13P11,..1!?77,:i.:!5:..:::.•:!...!•:.:..:!..,.:::....::::::::::::::,... ri•Topographical.:isurvey...;:„::.,:,„::::„::...-..,:........ .. •• ::.E nefgY cak*ilaons -'''-''-':" •••:•' •••••:':':,,:..'''''.:":::::::.::Ped .' "...:::;YE'..-'-.. - - ...":iiii6:: ii..: State..- " englneer 6r416t4' : ' '' ' ''''' ' '''. .•' . ' ':''•''•'..:•'''•'. ' ''•"''.-'" ' '•.''•'. • .'.''..'. ' '''.'. ' ' .......... 1'. •••••• ''''''''''„::'''. • • ..:: •••••:-::state::::::.:::•:.:::•.:„::...:.. • • si:CieSPOP.d°P.:::::::..:::::::::::::::::•::::::•:•••::::••:•::."...:::iitirpion.„....::....,.............. . .,. , ... . . 49.7.-,.:::.:•:::: • : :.,.:..::•...::•: ...iiiiiiiii,if hy.e..................... ... , . , ,..... .,.. , ......,"•:..•""::::::.:.::::::.::::':::::::::;::::.::::::::::::::::::•,1'.•::::•••:::•:::::':••• •••::.:.-::-.-• •• • ...• - site plan .. ... - drawing. :.......: , . .. : .. .. OOPS • : was • • raj 44es. . , . ... Wondn9:7. indude.. :...• • 'SDUUraI drawings Eleveltone 11, omPI!.!1°°'!Y 1)(Inld av;trla • , ... . : ,f t r • six (6) Be!$.. 1di NO— : NOTE:. : Include dimension's Of tackalitelPh(IWidtkOndiOng.tft);::**.i::::i:::.:::::: and OM ways. on pian structural calculations startiped by a Wixhington State•licensect. . engineer (rack itorsge 8. and over),: • .. • . • .. " : : :•:. . RESIDENTIAL . . . . , .,.....„ .. • . . . . NEW...0INGLEFAIAILY. • • •••••• •-.::::•••••••••••• •• ••• • • C,ompiatid bunding'permit application lone for each stnicture) .•• • „...-- . ... fl.•••■■• . : '..D.Lagal description ......: " • • ."... • ..._:......... •• 0!taseascrAccourit Number Ei Two et. (2) • " ' " 1, . 1 ." • 1" . • .1 1. 1 . ' ....1 : :11, • 1:11" • : . • • ' •Sitj plan Foundation p4an •.. • floor oar! • Roof plan .•:"••• eSuklina.618VatiPf18 '..Building cross-section • ..... Washington State Energy Code data Completed utility permit application • 68611. 9nv Six (6) sets of site plans showing utilities • 1111,4011111, NOTE: Bulking site plan and utility site plan may be• utility pew* application and checklist for specific s Additional topographical and soils infonnation may be required Me conditions • ••••••••■••• ENTIni L.......11EMODELB.:::::::::::.,.....:...... ::....... cture) .... .....•... . ... .. ....„.•„•.•.•........„•.. . . . . . . . :„. . ..... . ..„:,..:,..„.. . „. . . . ... :„..... ........ ........ . , .... ......„.. . .. . .:,710°q11010!,...,1.:.bo.,..ifto.,,t).,....piir9....,..!,.a0•04....oa0911,.:(0....0#10::0a911:...17..... .. . .. , AiiinisOiAcc olint.flumber::,....,..::.•:.................. Two (2) •a ets„rif.WOrinngHdrayr ' ings)•which••itiCI„ ...0 de ::•::.•:•.. -........ :... : ... .. . •••;•'''....:::::::: •:: :::•• :•'•: i -•:',:••••::::::::::•••••::::::::.:.:::::.:::::•::::.::::..::,..... . ••••::::::::....:...„:..........:.„,.....::...]:.....,......: .•..... . ...,„..„. • . :::::::::..1.. Site pian•::.:.:.,::::.•....:::.,...................:: .„.......... ...... . . . . .. . ..:... ... : . ..... . . , . . ... .. .•:FoUndationplan:::,:::..,.......::•:..........: ..... ....:: .........„.... .. „......... ,.., .... . .. .... . .. '':::::::::::.:•••:'■ Fli+or'Olan..::::: . ::: . •::•::::::::....-......;...........,...........„.•:. ,.... ....... ..:.: . :..,..........,.... ....„... . ... ... .1...'::::::',:•FlOrif plan''.::::::::::::.......:':::::::.-:.:'• :.:-.:::::::.:::::.::::::::.:.:.-:::::::::::::::::::-:.:,..::::::„.:....•.:........:.: •... : ....... :. • ''...:•::::'.Biiildrig elevat.ioni.:(iiii.liiewS)'::::•:.:::.,::::::::.„.....„:.,:.::::::::::„.,•..:........::;i•:...:„..,:: ....... ; ..: ...... .1:.:■••Eliniding•crOts!seCtiOn•:•::.:::4::::::::.:,:::::::::.:::::::::::-,......::::::::•-••••:•:::::....,::.:....::::::::„.....:.........................::..,„:„...,....... ■:Striictiiitil..fraining::planii.::.:::::::::•::...•:::::::::::....'::::::-.:.::.....:.:.:....:„::::.:::::...: :::.,...; .:.....::::..:-: : „.. :....:...... '..•.. NOTE: If anitidlitY.■*Orit'T Is tO'bSdon tiProvidi?...•:utilityHpernt it ap pi.ica 'July .,............: . , .Iiild. pkin 4; ..rru*t. Of i.0 i ftimit.t*O::::::::::::::i • :,:::.:-..:::::•::::::::::::::::::::.i.::::::::::'::::::;;:::::.;::::: :::::::::::::::::::::::'::::::::::::,:::::::::::1;:::: .•.:, ':::::::::.::::::::' : :r -....1::;.::.,.:. :..:. :: .:.: . : ... ::: . :.:.:' . .:: . :: . ::::::::::::.::::::. .. , . ,.::::.::::::::::::::::::: . :::::::: . ::::: . ::::::::::::::::::::::::::: -•:,::.::::::::::::::::::::..::::: . ::::::::::::..,::•::::::,.....:::::::::::::.;::::: . .1 a E A A 0 F 9:','....',:........1:: !Completed building permit applicadon (one for eaCkstrUcture) .. • EAseessOr:AccoUnt Niimber Narrative descnblng existing rOOf, motel:lal being removed and material being: Instailed .. : . .,.:..„.. unique off. °tine • • . • • • • . . ::: • • . . . . . . • . . . . . . . • . • . . . , • . , • , . A.., a, s, f. e.., v" 4�1% ti:... Z :i^�''.".Aai'd,.n....z.._+1v:3r P ARRI`. To t.• ST -� oN .' 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