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HomeMy WebLinkAboutPermit B93-0087 - SOUTHCENTER MALL - JAY JACOBS - PARTITIONS DEMOLITIONikt A • • cz 1.10d afscoas9 M5 -Dal City of ?xkwild� (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 BUILDING PERMIT Permit No: B93 -0087 Type: B -BUILD Category: ACOM Address: 707 SOUTHCENTER MALL Location: Parcel #: 262304 -9004 Zoning: Type Const: Gas /Elec: Wetlands: Water: N/A Contractor License No.: JAYJAI *088LN TENANT OWNER CONTRACTOR CONTACT JAY JACOBS 707 SOUTHCENTER MALL, TUKWILA, SOUTHCENTER JOINT .VENTURE'' ATTN: JAMES J,.GUDIN25425 CENTER' JAY JACOBS 1530 5 AV;:' SEATTLE, WA 98101 LARRY YOUNGER 1530 FIFTH AVENUE, SEATTLE, WA 98101 Status: ISSUED' Issued: 03/18/1993 Expires: 09/14/1993 Type of Occupancy: STORE Slopes: N Sewer: N/A WA 98188 CLEVELAND OH 44145 Phone: 206 622 -5400 Phone: 206 622 -5400 ** *elk ** * * * * ** Ak********* k********************** * ** ** * * **** * * *** * ** *** * * *•k *k Permit Description:';.., it REMOVAL :OF INTERIOR NON:.. BEARING PARTITIONS Units: 00'0 B u i l d i n gts,: 0 0;1 Fire Proti'e;ction.:' UBC Edition: 1991 Front: L,e•.f t P;RINKLERED •. .,0 SETBACKS,_ rcignt Valuation: "`3, 00,0,:00 .Total Permit Fee: 9a160 ****r ** �c****. . * * *** *.* * * * * **. * * *; **, *5�r•ik. * * * ** * *,* * ** * ** * * ** * * ** ** * * * * * ** * *•k ** Permit Ce'nter AU'tho.ri z I herebyertLfy that I have read and'; examined this permit and knout the same to be true anad correct. All provisions l;'of law .and: ordinances `. governing this work will be complied with, whether, specified; herein or not S;`i gna'ture Date /d_j 993 The granting.!-of this permit does not' presutr�'e to '.;gi�vre authority too-" violate or cancel the =.'p,rovis.i,ons of _any other-state or local laws regulating construction ' °or ,the per " obtain this bu g' permit. Signature ''Date: w� S- ms. s_ 4� ;2L fi21,75 Print N .Title: r•� This permit shall become hull" ,t v,o,.id:i.f:. °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. CITY OF TUKW1Lf Department of CA, s iunity Development — Permit Cente 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Building Permit Application Tracking PLAN CHECK NUMBER S93-00'31 PROD CT NAM A A b SITE AD ESS 70r1 ,4)ou� -h C )+- _ !1/ I SUITE NO. INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system 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 ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. DEPARTMENT: BUILDING - initial review `FIRE O PLANNING 3- -,--v13 ii3 K DATE ! PROVED 3 4 r 3 CONSULTANT: UTED) INIT: INIT: QUIREMENTS Date Sent - Date Approved - FIRE PROTECTION: (i Sprinklers FIRE DEPT. LETTER DATED: ZONING: REFERENCE FILE NOS.: (J Detectors (__) N/A INSPECTOR: cbo C. BAR/LAND USE CONDITIONS? MINIMUM SETBACKS: N- S- E- W- PUBLIC WORKS UTILITY PERMITS REQUIRED? Li Yes (J No INIT: PUBLIC WORKS LETTER DATED' O OTHER BUILDING - final review !BUILDING OFFICIAL INIT: TYPE OF CONSTRUCTION: INIT: CERT. OF OCCUPANCY? QYes `t!J No UBC EDITION (year): REVIEW COMPLETED AMOUNT OWING: 0 CONTACTED fD I / , DATE NOTI �, ,.. ► --- G] BY: (init.) y�'< 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION . BY: (init.) 01/08/93 CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 BUILDI PERMIT APPLICATION PLAN CHECK NUMBER DESCRIPTION:> BUILDING'PERMITFEE PLAN CHECK' BUILDING SURCHARGE:::::. AMOUNT :RCPT :# DATE': OTHER:. TOTAL SITE ADDRESS r% 0'7 SUITE # C»_ 7-ir %i / Pe /(1/4/-Z- QaCe Y 0NP,., `3/0 VALUE OF CONSTRUCTION - $ .3000. 00 _ PROJECT NAME/TENANT i J `r' -7)- _' (-).P ,S .._,79C, ,- ASSESSOR ACCOUNT # "?- 2 30 2O09 (commercial) emolition (building) S Other* _ TYPE OF 0 New Building U Addition Lt4fenant Improvement WORK: 0 Rack Storage O Reroof 0 Remodel (residential) DESCRIBE WORK TO BE DONE: 17c/ (1 v,/ c: F ;GI/Per ;era— .Uvx✓ A1' ' )AJ � ,' 1 6 / BUILDING USE (office, warehouse, etc.) (<).6//ir"/ I(, NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? 0' No ❑Yes If Yes, new building requirements may need to be met. Please explain: — SQUARE FOOTAGE - Building: Tenant Space: 6'(OU Area of Construction: 60-6-6 WI)THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? O No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER ,(Intl 1 " , ii: t t.,.... r',,i '(-,i t,...I '',• ^," , (,_:Q....•' (PHONE . ADDRESS cal r. , . , - t ° � .., ' > t , , '�;. ..&(.. .f . r ri' . ZIP ��,� / � �� CONTRACTOR /' �'� �1 �: (. , . :. ,„ --r (.) t...(.. � PHONE r�,`...t� co ADDRESS 1C, J) (3 / ,j ,76--t(I.�2-- CAD ,A-• • ZIP, �,U (') l WA. ST. CONTRACTOR'S LICENSE # \\ c‘ k. ( n k, . . ?, N p L EXP. DATE �. ci `z, ARCHITECT ! PHONE ADDRESS ZIP EREBY CERTIFY :TH'AT J HAVE :READ;:AND ;EXAMINED :THIS ApRLICATION:;AND :KN TRUE AND<:CORRECT, AND 1 AM AUTHORIZED `AP LY:FOR :THIS:PER.MIT BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON DATE PRINT NAME /2 GFt? �`/9 L Soiu ADDRESS 1C 3 (5 .yT?L 4U6-- rn2 o Y )6tiu rrT eft) SAME::' /S /9 PHONE CITY/ZIP ss�771e____ � /O PHONE627_ zi,.(1.7) 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 431 -3670 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 ow process or plan submittal requirements, please contact the Department ; of Community Development Building Division at 431 -3670. IV 11 DATE APPLICATION ACCEPTED Ci1Y Ur TUKWILA A- 5 -- 03 eMAR 5 3994 DATE APPLICATION EXPIRES 03/16/Si PERMIT CENTER COMMERCIAL SUBMITTAL CHECKLIST • • ...• :• ,.• • • • .. • NEW COMMERCIAL •. . . . . •. Completed building Permit application (one for each strUCture),:.':...'„•::.:••••.?... • • . .r---r Account ' Assessor ..• ..• ' .••• .• ••••• „. TWO sots (2) Of trio foltowing • Specifications „ Struettiral Calculations stamped by a Washington •. Soil* rePort.stamped by a WaShington..State: licensed engineer • • • • . . . „ • " • • •••• • • • • . ..• „ . • • • • • •••• • • , , . • • • • • . Energji•calCulations 'stamped. by."e. Washington State hcensed ••• engineer; or architect • , •: . , •.Legal description •••••::: Working draWings•J''. stamped by .e. Washington State .11CenSed •. a rchitect;'which ude: • . . . ........ ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, • •••••• ••••••::•ArCYliteCtural drawings '''.:••••••••••• Structural drawings Mechanical drawings Elevatioris Civil drawings • ................................................................................................................................................................ • • ''::•":".•••••••,.':'...'•••••••• •.•.••••.•:•••••'.....•••.'••••••••••..":. . . ''''•••••••••••' submivai i in erits11'.1i;::: • . . . 1 , • „ „ dimons,ons of and a.ndexitways On; pl an .••••:;• . ..; • .. • .. . ..:Structural calculations 'stamped enginber:(rack•stoiage:8',.and •;....•.•::••:.• • • • . ':••• RESIDENTIAL COM' ••' TENANT IMPROVEMENTS 4. • Site ptan • : . . ........... . „... . tenant space (if.:aPrili0ble;':.1*:;.:cbslic)0::.:iif.:tie .•••:k.Tenant use •o adjacent (ppm • Tenant each .•• • Exit doors re . ••1:14 -exitindieitill;':iiiid.iiia1161cibedeniollshed;.:::•,•::......... • •••. Co i.ttriictiOrt;:de,tailS, d trdCtion o .... buliding'orsquare footage ... e Structurat calculations •••••••. stamped ..:"•'•••••:.••••• ineer ..;•:NOTE......:•:// any. Utiiity.*7ric14:: ta;.,•bp s submit separate • . • • • ..• ••• . • 8r4/ca lion. and plans • • • ...... ..... ...... ...,,l.,:''i'i,,I ;'_ . ':: .. ::i:...• '''. . -:::. ' :.''. :. :.. ::'7:...- .... — ,.i.: .. ...,:.„;: , I .:..•. .:, E.,....,:....•.:..,.:•',..R.,..: .7..:,'•.: •.i',., .•:',S•.":•.'.,. ,' ..•.::....,,...•.'l,... • :,.....:I.:•;'::.,•-•.7 0), :•... '(:, .•..;'.' ..:7...P':. ., .. , ' .:. ...P. ::.. .•..'...!:::.:..:i'.. .‘: 1:,‘:,''.i....':.•:'6-:, ..;:'..j':''•.!. i:•,'6::. ..''•':.i, .: .•. l':•. •..':::..: •.':..,•e.:4:..-;':•s . :.'t , :':•.' ' .•:::.' :., .'::.•:: building '.:•':''h... .::-'6 ,.'•..'..-...:.;,.:'.0:; ...- ...•...:.'.:f ....-..:.,..,:•:.i:;.:.w': . :.:. P,'',. . ...'.'. .. . .1'..:.. ... '......:•:.1... ' :-'.. .::.. . : ::•.:'::•,:.'..:,....„'...' g,9.:.''..,.•,.. .::.'''.: -.•..., ..;. ...:,.'4: '' ?.',,;.: ..:. -.,'°.:::oi1.1:. .7.":.:7°.:r.::.'.:.'.... :'... ,1::„.h: . :.•7' .,:1:... ):= ..:,''•,,•. V.:......:.•'...,,!':.j•.':.:c:.:..1,::..."., .:. :.,..-'.':' ',....'.:h.,.:...:i'..:..•.:...:;-..,... :":a.,;,....::.::'...0..,:.:..a...:,:'....: -.:'.• :..::r'.':. ':,:,'. ,....:'..'.i.10-„:. .,. •..•".. 1:..,j.:.:..:..:':.'..:..,.... .• ::•'.. •:.:.':..'::•9., „:. .:: ."..'•.... .';, '. ,.::. ',•.:,. ..: .i.• ...• :c .:...•.!;.... :,. ..•'.:j:.'..;'.' . ::'..:i„•.' . :,:-..:,.!• .•...'..',....::.:..:.-:..."„.....t:.,...'*::..:,<1:..::..; ..:..:,„: 6.1:::. "::..:.°.::.:•.::.:...:,i:..:..::,:..:.:„' ..:' ..:.. it. ... :l. . . : „. .:6. .....h.. . ::. .. .: •. 1'..•„ ....'.::,.'. . .: -„: 7.,..'..,.::.„,..:::..•.,'..::,, .-.,r:::.",:•i:i'.:..i:"::,"‘.• .:: : .•.'.... .,.:.o'•: -,.:.." .:.,„.:,...:..„• ‘: ..,.'..:.".,:.:....:.;:..,.'...•. ....:.; ...".,,.,•.,..,..,;. . .,i..,.,. , :'!!ice:A"qqu0:r 1 .Narr :ii10•ciescnbinE.e'16:3'iOct;04!9f!1l'b:,: ,.,f.3.,• -:.. ...'',:;:. .... , ..-:."., .,:.',.....:•, :.. ..'1''.,.:...",.';....,.. -'':.. ,:, .' g:.,:... ..,,i'..:,.....:;,.i:i...,...,:f..':ia.::.•' 7. i.,:......i;:.•. ....:e....,iO,.. ,...:.....:•,.......,..:i.,.:;:.... ,i. .::. ... .„.....:. ' i.... ::..:.,..i...•::,e••...:,, :.,„. structure) .,•.:?!.:.:....:! ...s.::.:..:..:.,**.. „. .,..,......';,.. ., M8er1:::ing .1i6ta!leq NOTE :' ':r I 7 i 77ti77.iette::r:9q/ 9d priq ,•tef n 1inspection .... ....'..;..,...,•::,!....:1:,,::..:. .. .„ :• ..,..:.".. ;:• and '?.,''.:.. :•.:„.'.' '•: ''.. . '.,".. ' :;.. 8'.::':..:,„::..•,. I..' :.:..1..,:..: •.'.9: .:,'.' '.:r ?f of t/P Pft i ANTENNA/SATELLITE . , .. : .... : :,:j: 6°f::3d,buidipgpe11i4PP!ica1c” j:ss:s:r;rcuii 0!ri!ii44011. ! i Assessor Account 1 Structu:i.6619y : Washington state .i70!p 9o9inaprra?,bi.r:9utrec .:. ;:.,'..,.i...', . . :, ..;..:.' • •;•. '. ... .' •.'. . '.. : .:. ' ...:„ ::. NEW COMPieted:12Uilding permit application (one for each structure) •. Leg al :deconPtIon'..7.::.•:••;•.•,• • TWO:sete:(2):91Ctr*iPp'.OrawIrtgc•:•.:whiotilrialirdet:•:..'.;:.Q::.*:.*:,•.•••• Site plan - ___ --- (c plan show closesrhydran: IocalIon Foor plan . Roof • plan : • Building • elevations all views) Bullding cross section ••• Washington State SnergY:Cedel.data.:,.....:::: Six (6) sots of sito plans showing utilities NOTE g OfilltY;#fraiifan:filay: uril/ty:perrpir•afipllcation• and .ChOOklisf•for.....spaelliO,a.40rffittal;reepirrinfeOt.§:::':, Aciaffon011OprigroifIcal. aad:4Oils., inforniation • shci.Ocinditions.•: • .*:•:. :••• • • . ..•••■■■■• ENT.W...•••• . Completed • • • idi:E., • ..... permit appflcation fctu.i.. ........ . . ....... .. 1 1 re) [1 Assessor Account 1 Twa (2) sets of working • ing§ rhi6h. iriclude Site ptan .. Foundation pien Floor pian views) .•.••••.:•:•.::.•,•„,.:...-.. • cross section • cro ..... .... ............................................................................... framing ..... provide and plans mList be submitted ..... permit appticauon (one for each • _••••,Comii.1000 . '.:ASSoiSert.ACCOOnt'Nutri. ■••■■•■•••■• It ••• ' ;.• ; Em:a•A: ....ill 11. required , O ff. o f •• • .:. ; 7, n, •nn —~~r-` p�`r--~-� rr"_r'_°' ETTA. ***************************A****A**********k***k*********k****** CITY OF TUKWILA, WA TRANSMIT **+*****************+****+*********************************+++** TRANSMIT Number: 93000284 Amount: 93.60 03/05.93 08:55 Permit No 893-0087 Type: B-BVILD BUILDING PERMIT Parcel No: 262304-9004 Site Address: 707 SOUTHCENTER MALL 8B��J. Payment Method: CHECK Notation: ROGER OARLGON In WPM) *+*+******+**+***+*+***********+*+*k+*++******w*****+*****+*k*+* Account Code 000/322.100 000/345.830 000/386.904 • Uemcription ' Paid BUILDING ~ NONRES 54.00 PLAN CHECK - NONRES ` 35.10 STATE BUILDING SURCHARGE 4°50 Total (This Payment): 93.60 Total Fees: Total All Payments: Balance: 93.60 93.60 .00 GENERA GENERA GENERA TOTAL CHECK CHANGE 8566A000 54.00 35.10 4.50 93.60 93.60 0.00 CITY OF TUKWILA Address: 707 SOUTHCENTER MALL Tenant: JAY JACOI3S Type: B-BUILD Parcel #: 262304-9004 Permit No: 893-0087 Status: ISSUED Applied: 03/05/1993 Issued: 03/18/1993 **********************k**k***k****k***Ak****k*******k***k*******h**k******* Permit Conditions: 1. No changes will be made,to,:the 'plans Unless approved by the Architect and the TykwAWLBUildieig DivislOn, 2. Plumbing permit shillibe obtained through the ,Seattle-King County Departmertb-f'PubliCdHea'lth.,',Plumbing will be inspected by4iii.t'agenCy,,,, '1c) 'n u ng all gas,-PiPing'- di ' , , (296-4722). 3. ElectricaKlie'rmIt shall be obtained 'through the Washington State Dtsitieforyfeif Libor, and Industries and all electrical work wtW6eAns146tee'by that agency (248-e657).1 4. All me,Ohnical Work,,:yShall Pe''unde'Separate permit tMrough,,,,, the City of Tukwile. 5. All p01;4imiisi inspection records, and approved plans shall be,,,o,% main*Oned,4vaiiable abthe Ppa'site,prior to the start of any/Consru6Xion. These documents are to be maintained ava,ill'ableudti) finaiAnspecpOn aPP,r0V-1-tls granted., 6. AnyOposed inSulatIons, be'ckNngl,meWial shell have a Flame, Spnekd Rating%of:25 or\leiss'iOane,Miteriel-shall bear Adenti& fitMion,rshOwtng perforrnance 7. AllTOnstruction,',to bedon“0,conMance with epproVed,,,w; ;01 pleOlar<recigireMeOtsfof/tWUniform,,Build'ing Code (1991 Edition) a'e.amende'd-,1*,ApvWas'h ltlgOitsOte-,Building:Code-; Unitfickani,pal Code (1991 EdfOon/x; aficr:We,shington State EnergykCoslew-11991 Second Edition.- 8. Validity ofPcrait. The rnit approval of , i , ) , planswApeOflcatdions and computWo'ns spall,nlit We coh-,, 0 struedto'be a permit for, or anipOproval of,'*tviolatioeY/ i at- 'tt ,,,, of any\:af,,,the Rrovislons of this code or ,otaniother;, e, , k% Q y., , ,,k0 ordinanTof tligljuri'S4iction. NO permit presuming,4to OW L _v , ,i authorit 06r viOAlate or"capcel the provisions of this co,de , shall be vel ox valid. % 'd '''•,,,, ,.,,4., a 1. ,I; 4/ '''' '' ., ,A,.J/ 9. SEPARATE PERMIT AND APPROVAL REQUIRED FOR TENANT7PAN y li 'q-,Tir . •tl• .1 ■•■:‘4:::J''':::::47: y ,,,,..,..e., L■TY"4 ,n, 0 City of Tukwila Department of Public Works John W. Rants, Mayor Ross A. Earnst, P. E., Director M E M O R A N D U M NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DIVISION DATE: MARCH 30, 1993 SUBJECT: UTILITY PERMIT AVAILABILITY /REQUIREMENTS Jay Jacobs 305 Southcenter Mall Project No. P93 -0028 Activity No. PW93 -0054 Contact Person: Lisa Thornton Telephone No.: (206) 622 -5400 THE FOLLOWING PUBLIC WORKS PERMIT IS AVAILABLE FOR ISSUANCE IN ACCORDANCE WITH THE ATTACHED PLANS: 4' p4 k) Permit Fee e op)Water Meter (2 ") Turn -On $ 25.00 Two copies of the confirmed Utility Permit Application Form are attached for inclusion in the building permit file. JP /cd cf: Finance Department (w /copy of application) City Utilities Inspector (w /copy of application) Development file (w /copy of application) Attachments a/s cd.d25.jacoba.upa 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 4330179 • Fax (206) 4313665 �.�ttr� tit r . a/ tlig,,...A Central Permit System— Engineering Division ,,Jj F.;>4 City of TA ,vila APp.: # <� 5 �T r b���q �' Blvd., Suite #100; Tukwila, WA 98188 .°�9 -3 --'" 4 Phone: (206) 433.0179 f r io t 'If ' =;,,esoa MAR 2 51993 UTILITY PERNsiT APPLICATION TUV.V'iLt, PROJECT . "U%it'e:Ati6itist INFORMATION Name of Project: if , V Properly Owner: 4Wci5 P.1c,9 0.e CLphron City /State /Zip: Cle,vz (,_p , oN 40 ,e Phone No.: 2,66 ',3%•7(7/ -City /State /Zip: /'Lt,,3% / 4 Phone No.: 200-63)- 5'-f'0'U City /State /Zip: (7. i,cam}- clgJD License #: 'C, 3-A 1 t Oet Exp. Date: 14.N(2- 1993 A'Street Address: 5 L{ 2-S Dcy (2r .• Engineer: 1`kt.S) H tS5C -- �-' id-' A2.ct' Street Addressk, Jaq, t I Contractor: J Prv3 ,Vt- 1,9075 4 G < Street Address: (S 5i-k_ King Cty Assessor Acct #:a6a 30 -- . 00 Contractor's PERMITS ;: ❑ Channelization /Striping /Signing REQUESTED ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) - No.: Sizes: ❑ Flood Zone Control O Hauling D Land Altering cubic yards D Landscape Irrigation D Moving an Oversized Load Est. start/end times: Date: ❑ Sanitary Side Sewer - No.: ❑ Sewer Main Extension OPrivate ❑ Public D Storm Drainage D Street Use ❑ Water Main Extension ❑Private ❑ Public O Water Meter / Exempt: - No.: — Sizes' Deduct ❑ Water Only ❑ ❑ Water Meter / Permanent - No • — Sizes. ,V0,1 Water Meter/ Temporary: - No.: Sizes• 2." low -on/ Estimated qugntity: ©F /S'4 Schedule: ❑ Other: Cpu izt WATERMETER,:<: DEPOSIT /'.:;<:'.; REFUND /BILLING MONTHLY;:; SERVICE BILLINGS TO: Name: 0749 C g5 -it_ Street Address: I S 30 S,44'` Name: TA-`n •3'13,4o0S�.� Street Address: l S 3O S-1-1•% J >: ❑ Water ❑ Sewer ❑ Metro ❑ Standby 3 -- ca2/ 1511-3 'Remnd. -I c 0kr�{ Phone No.: -Zola • - 5'100 City /State /Zip: 5q-1rc 7' I of Phone No.: '2�o43 - ( - 5 400 City /State /Zip: 5- e&h4co, C44.4 gsojol DESCRIPTION OF .::PROJECT:, ❑ Single - Family Residential [❑ Multiple - Family Dwelling No. of Units: ❑ Commercial /Industrial O Hotel ❑ Motel ❑ Office D'�etaH ❑ Duplex ❑ Triplex ❑ Warehouse ❑ Manufacturing ❑ Apartments ❑ Condominiums ❑ Church ❑ Hospital ❑ Other: ❑ School /College /University ❑ Other: MISCELLANEOUS ❑ New Building ❑ Remodel/ INFORMAT1ON .. Square Addition Footage: King County Assessor's valuation of existing structures: $ Square footage of original building space: Square footage of additional building space: Valuation of work to be done: $ l HEREBY. CERTIFY % HAT I,HA Applicant /Authorized Agent Signature: Print Name: Date :3 'E :.READTHIS APPLJCATION AND: KNOW:THE SAME TO: BEITRUE AND:CORRECT Contact Person (print name): L-IS� Address: 54-1^ ( J Phone: (oaf'�°�t' Date Application Accepted cl MA f5/. Phone: a• Lap Date Application Expires: 04/22/92 Aug 17, 1993 City of Tukwila John W. Rants, Mayor Department of Community Development Rick Beeler, Director LARRY YOUNGER 1530 FIFTH AVENUE SEATTLE, WA 98101 Dear Permit Holder: Our records indicate that on Sep 14, 1993 one hundred and eighty days will have passed with no inspections having been called for under Tukwila Building Permit Number B93-008T. Unless you call for an inspection, or obtain a written extension from the Tukwila Building Official prior to that date, your above referenced permit will become null and void on Sep 14, 1993. If your project has been completed please call for final. If you are actively working on it please notify our office. If you have any questions or need further information to obtain an extension on your permit please call the Tukwila Building Divison at 431 -3670. Sincerely, 42 %%1, / 2 Denise Millard Permit Coordinator Department of Community Development 6300 Southcenter Boulevard, Suite 11100 Tukwila, Washington 98188 • (206) 431 -3670 • Fax (206) 431.3665