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Home My WebLink AboutPermit 0019-M - Pier I ImportsY CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - /S4P9 BUILDING PERMIT Work to be done Site Address 17195 SOUTHCENTER PY Building Use N/A Property Owner Address Contractor Address HVAC PERMIT # (90/ C.' --Y') Control # 8$ -014 -M uite enant P , . , e Assessors Account # PHOENIX MUELER LTFF TNSURANCE CO. Phone # 454 -4180 C 0 COF 1607 116TH NF_F_ SUITE 111 BELLEVUE, WA Zip 98004 LD AIRE INC. : u Phone i 251 -6676 239 S.W. 41ST BLDG 11, REN 11 "' Zip98055 .♦....tti ":_ w, FOR BUILDING PERMIT ONLY S q • Ft. Office Storage e Ware hous s Retail Other Occ. Load 1st Fl. 2nd F1. 3rd Fl. Total Fire Protection: [] Sprinklers 0 Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd Fl. $ sq..ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 3,000 Bldg. Permit Fee Receipt #,92'1 $ inn Plan Check Fee Receipt #a�,-77 S 3 5n Demolition Receipt # $ Surcharges Receipt # $ Other Receipt # $ Other Receipt # $ TOTAL $ 18.50 FUR SIGN PERMIT ONLY 0 Permanent [] Temporary 0 Single Face [] Double Face [J 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 VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 1S SUSPENDED OR ABANDONED 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 1H TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR ANCEL T E PRO STUNS Of ANY OTHER STATE OR LOCAL LAW REGULATING CONSTJlUCTml OR THE PERFORMANCE OF CONSTRUCTION. ,tsZSIgned r17 -.✓ �JC'- --- oate 37,4'/1:7°) LICENSED CONTRACTORS DECLARATION - 1 hereby affirm that I am ensed under vi o of the Business and Professions Code, and my 1 ense i� in full force and effect. contractor (signature) ",�i•- -'"`" oat. : / /"1! /, f' OWNER - BUILDER DECLARATION I, as owner of the property, or •y employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project, Oat* Owner (signature) CITY OF TUKWILA (" Building Division`. 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - MP? BUILDING PERMIT c Work to be done HVAC PERMIT # Control 0 88 -014 -M Site Address 17195 SOUTHCENTER PY uite enant P '.1' Building Use N/A Assessors Account # Property Owner PHOENIX MUEI ER LIFE INSURANCE CO. Phone N 454 -4180 Address G-1a COF � 11F,TH NF�F_ SUITE 111 BELLEVUE, WA Zip 98004 Contractor EMERALD AIRE INC. #4MFRAAI CA Phone ! 251 -6676 Address 239 S.W. 41ST BLDG 11, RENT W� Z.ip98055 FUR BUILDING PERMIT ONLY �d Tc _l_ ,r, � �itY^ S q • Ft. 155E-17. Office Storage/ e Warehous Retail Other Occ. Load Znd Fl. 3rd F1. Total , Fire Protection: [] Sprinklers (] Detectors Zoning_ Type of Construction Special Conditions Fees sq. ft. @ sq. ft. @ sq. .ft. @ sq. ft. @ 1st F1. $ 2nd Fl. $ other $ other $ Total Valuation of Construction $ 3,000 Bldg. Permit Fee Receipt #. :72"ll $ inn Plan Check Fee Receipt 0 z2,-7, $ 3 50 Demolition Receipt N $ Surcharges Receipt 0 $ Other Receipt N $ Other Receipt 0 $ TOTAL $ 18.50 FOR SIGN PERMIT ONLY [] Permanent J Temporary EJ Single Face J Double Face [] Wall Mounted 0 Free Standing 0 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 VOID IF WORK OR CONSTRUCTION AUTHORILEO IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR YORK IS SVSPENDEO OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK l5 COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH1 TYPE OF,WORK WILL BE COMPLIED WITH WMEN SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 0R A ETM NCEL • PRO SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONST UCTIIOO OR THE PERFORMANCE OF CONSTRUCTION. 4— Signed �r ' Date 3a LICENSED CONTRACTORS DECLARATION of the Susiness and Professions Code, and ■y 1 tense 1 in full force and effect. Date / /-74 / <, :„I hereby affirm that I aka Contractor (signature)_., iensed under v l,t c OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or •y employees, with rages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) 1, as owner of the property, M exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date faJttfiw.Vtea!r2' gals+ rvle�triaarr .+ren,cv�ro..o.n+u.,�..,... - - - CITY OF TUKWILA 'Building Division Tukwila tWishinetonul98188 (206) 033 -1849 Type of Inspect Site Address /7//9 5' X Requestor Special Instructions r. �s.. wvn�w.. H�++` 4r. �4•aottwmlwatK:.NKi'MWE�y�� : \4v lrrll�hni�M11T VP,JMd INSPECTION RECORD PERMIT. # CO/7—.AV Date •�'f�VStnu�r Date Wanted % a.m p.m. Project Phone # Inspection Results /Comment Inspectors Date ., .yam' /�,"��t CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washinotnn Q8188 (206)- 433 -1849 MECHANICAL PERMIT APPLICATION CONTROL# X1f'I�IU` Site Project Valuation Property Address Applicant Address Architect Address Contractor Address Descri Address /7/99$ z'#,c0,'r '. hei y Suite# Floor# Name /Tenant of Owner e b 'P/ &72_ -1. ,i-7 /7arz- work 43eib Assessors Account # 26z.'304 - 7e7/ -6 :D4-&-20?‹.. invr y,--L /ice- Jac,$ -u Nac'"C - Phone -ig--e(-. "4/s� Cc'r; /607 /6-E. - / 4 0; 5 - l// _ : cs- 14114, Zip Brv'1 . j-7G:x.j, 5'4! 4 .424 -- _ji - Phone zs/ -667 23-7 / . . 5 7 - - ; 2 3 ; 1 - 4 / / , Re//rz v/ Gv4 Zip ir-- /Engineer Phone Zip 77� -i01 L/, .,d,rz.c- L,L,,_ License# �r��rZ./1AT. i5-5-c-.41 Phone 2S /- 607( Z39- ,3-c -✓. �I /5: „81.•/4 /// i2eN7afv• c�/e4 _ Zip ?2 s s- be work to be done "vr: rila0 / c.E17?DA) s (TX) Indicate the type of equipment to be installed, rating /size of equipment, and number of each: TYPE RATING /SIZE NUMBER 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 CORRECT AND THAT I HAVE Applicant /Authorized Agent Contact Person (please print) HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND THE PROPERTY OWN 'S AUTHORIZATION TO DO THIS WORK. // (signature) � �_ -�� Date .3/t'" /y (print name) ' tie, 4.4s • fir? s--- AtiA � Phone 2r / -667 C TRACKING 1115T FEES: Basic Permit Fee Unit Fee Plan Check Fee Other OFFICE USE ONLY (000/322.100) $ C7 Receipt# Date Paid (000/322.100) d Receipt# Date Paid (000/345.830) Receipt# Date Paid ( / ) Receipt# Date Paid TOTAL ,,50 (OWES: $ ) ?..JU ) _1 DATE IN DATE OUT- COM BLDG ,--3.1,..gg 5-9 , Approve or ssuance PLNG Approved (Initials)