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Home My WebLink AboutPermit 0018-M - Nielsen ResidenceCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 404; 041 BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address PERMIT # QQ // -#7 Control # 88 -013 -M HVAC 14428 - 57TH AVENUE S. Suite iF Tenant NIELSEN N/A Assessors Account # JIM NIELSEN Phone # 433 -1848 14428 57TH AVENUE S. TUKWILA, A Zip 98168 Phone f SE LF FOR BUILDING PERMIT ONLY Approved for Issuance liv` S q • Ft. ss t FT. Office Storage/ use Retail Other Occ. Load 2nd Fl. 3rd FT. Total Fire Protection: ❑ Sprinklers ❑ Detectors Zoning Type of Construction TOTAL Special Conditions GAS PIPING PERMIT MUST BE Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. S sq. ft. @ other $ sq. ft. @ other $ Total Valuation o Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other f Construction $ 1,00(1 Receipt #Q206 $ Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt # $ 24.0Q MIME 111100VACI4C=11011111510:1 3 24.00 OBTAINED THROUGH KING COUNTY HEALTH DEPARTMENT FOR SIGN PERMIT ONLY [] Permanent ❑ Temporary 0 Single Face ❑ Double Face [] Wall Mounted Building face Setbacks: Front ❑ Free Standing ❑ Other 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 AUTHORIZEO IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL ��ii COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE, OR CANCEL_ THE pROV ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT' OR THE PERFORMANCE OF CONSTRUCTION. Date l3/ g�� LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect. Date Signe Contractor (signature) OWNER - BUILDER DECLARATION ( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. ( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date CITY OF TUKWILA (" Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - /84q BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address HVAC PERMIT # Control # 88 -013 -M 14428 - 57TH AVENUE S. Suite # Tenant NIELSEN N/A Assessors Account # JIM NIELSEN Phone # 433 -1848 14428 57TH AVENUE S. TUKWILA, WA Zip 98168 Phone # SELF FOR BUILDING PERMIT ONLY j.. P Sq. • S Ft. `I t FT. Office Storage/ Yarehouse Retail Other Occ. r Load 2nd Fl. 3rd FT. Total _- Fire Protection: ❑ Sprinklers ❑ Detectors Zoning Type of Construction Zip Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ Total Valuation of 1st F1. $ 2nd Fl. $ other $ other $ I,p0LJ Construction $ 3014886~— Bldg. Permit Fee Receipt 02200 $ Plan Check Fee Receipt 0 $ Demolition Receipt 0 $ Surcharges Receipt M $ Other Receipt 0 $ Other Receipt 0 $ TOTAL 24.00 S 24.00 Special Conditions GAS PIPING PERMIT MUST BE OBTAINED THROUGH KING COUNTY HEALTH DEPARTMENT FOR 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 BECOMES NULL AND V010 IF YORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONt.0 Full A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE Of WORK WILL COMPLIED WITH WHETHER SPECIFIED HEREIN OR N01. THE GRANTING OF A PERMIT 00ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE, OR CANCEL THE NOV ONS OF ANY OTHER STATE OR LOCAL LAY REGULATING CONSTRUCT! OR PERFORMANCE OF CONSTRUCTION. Signe •rti� Date LICENSED CONTRACTORS DECLARATION I hereby affirm that I M licensed under provisions of the Business and Professions Code, and •y license is in full force and effect. Contractor (signature) Date OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or •y employees, with wages as their soli compensation, will do the work, and the structure is not intended or offered for sale. ( ) 1. as owner of the property, Owner (signature) M exclusively contracting with licensed contractor's to construct the project. Date n CITY OFTUKWILA' Building Division lioulovard (206) 433 -1849 Type of Inspectio Site Address //. "2 Requestor i �ivg ) vi& h ? Avs, y, INSPECN RECORD PERMIT # Qvid? -4/ Date Date Wanted 1/— //—d7/ Project y:f.Is4,i Phone # a.m. Special Instructions Inspection Results /Comments: Inspector Date CITY OF TUKWILA Building Division 6200 Southcenter Boulevard MECHANICAL PERMIT APPLICATION Tukwila, Washinotnn QA188 (206) - 433 -1849 Site Address /4744;-20 4 j 7 —A — S Project Name/Tenant A57J�S %j> CONTROL# Suite# Floor# Valuation of work ��"' lj f Ov Assessors Account # Property Owner_ G • ��/.5 E-il / Phone Address A_/‘-1772 ( J , `' ` ' / 4 2 ‹ f . . 5 - - ) . Zip g Va7I Applicant .....'1-77:g) �„ /V,G7,:s---,c// Phone Address Architect /Engineer (/ Address lr / Contractor Address Describe work to be done l,/// Zip Zip License# Phone Zip Phone Indicate the type of equipment to be installed, rating /size of equipment, and number of each: TYPE RATING /SIZE _ NUMBER a7() >iou 7 Two (2) sets of plans must be submitted meeting the application requirements of Section 302(b) and (c), 1985 Uniform Mechanical Code. Roof -top equipment work requires submission of building elevations. I HEREBY CERTIFY THAT I HAVE READ AND CORRECT AND THAT I HAVE THE PROPERTY '- Applicant /Authorized Agent (signature (print name Contact Person (please print) EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND ER'S AUTHORIZATION TO DO THIS WORK. 412 q Date w q Phonee3-4 OFFICE USE ONLY FEES: Basic Permit Fee (000/322.100) $ ) OO Receipt# Date Paid Unit Fee (000/322.100) Cq,()D Receipt# Date Paid Plan Check Fee (000/345.830) Receipt# Date Paid Other ( / ) Receipt# Date Paid TRACKING DEPT. DATE IN BLDG TOTAL a L/, a 0 (OWES: $ 2 (4, 07.) ) DATE 0 PLNG 2 Approved for Issuance Approved (Initials)