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HomeMy WebLinkAboutPermit 0021-M - Leonard Moen• CITY OF TUKWILA (4' Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - IS4W BUILDING PERMIT (!!: Work to be done Site Address Building Use Property Owner Address Contractor Address ■ PERMIT # 0021 -rr Control # 8 „ -n15 -M 6'10 N/A 11 1 . • •1'1 • uite 1' enant LE Assessors Account # N/A Phone # 682-268U J A I T n,v 11 TIACUUNKALD loll LCEk CO- #MAC DOM 248 J9 11053 PACIFIC HIGHWAY S. SLATIA. WA FOR BUILDING PERMIT ONLY Approved for Issuance by: el,', e E, WA Zip 98101 Phone # 763 -9400 Zip 98168 S q • Ft. Office WStorareaous ge/ e h Retail Other Occ. Load 1st F1. 1 2nd F1. 3rd FT. Total Fire Protection: [] Sprinklers [] 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 $ 923.64 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt #V,359 $ 15.00 Receipt #a39? 3.75 $ Receipt # $ Receipt # $ Receipt # $ _ Receipt # $ $ 18.75 FOR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary 0 Single Face ❑ Double Face ❑ Wall Mounted Building face Setbacks: Front ❑ Free Standing 0 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 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PERIOD OF I80 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS AND ORDINANCES WORK WILL BE COMPL 0 WITH THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO THE P IOyd7 , , + HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OS THE PERFORMANCE OF CONSTRUCTION. L� oats. l��- LIC NSED CONTRACTORS DECLARATION ;7( t and Professions Code, and my license is in full for and effect. tj ��� 1 HEREBY CERTIFY THA GOVERNING THIS TYP VIOLATE �S i gne` Pn hereby affirm that Contractor (sign ( ) 1, as owner of the offered for sale. ( ) 1, as owner of the Owner (signature) property, property, OWNER- BUILDER DECLARATION or my employees, with wages as their sole compensation, will do the work, and the structure Is not intended or M exclusively contracting with licensed contractor's to construct the project. Date .A CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - '$49 BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address PERMIT # ()02 / -fr Control # Rt.- (115 -M • •• „ ••nI •i1, • uite 1; enant Assessors Account # N/A Phone # 682 -2680 1 11 MACUONNALW MILLER CO #MAC DOM 248 J9 11063 PACIFIC HIGHWAY S. SEATTLE, WA 11i1 '1 1 E, WA Zip 98101 Phone # 763 -9400 / Zip 98168 FOR BUILDING PERMIT ONLY A proved for Issuance b S Ft. q • NE —FT. Office Storage/ Warehouse 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. @ Total Valuation of Construction $ 923.64 Bldg. Permit Fee Receipt # 5y S 15.00 Plan Check Fee Receipt #I23Sq $ 3.75 S 3 1st F1. $ 2nd Fl. $ other $ other $ Demolition Surcharges Other Other TOTAL Receipt # Receipt # Receipt # Receipt # $ 18.75 FOR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary [] Single Face Building face 0 Double Face 0 Wall Mounted Setbacks: Front Square Footage of each sign face Special Conditions ['Free Standing ❑ Other Side Side Rear Total square footage of sign THIS PERMIT BECOMES NULL AND V0I0 IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PERIOD Of 180 DAYS AT ANY TIME AFTER WORK IS COIBMENCEO. 1 HEREBY CERTIFY THA�,1 HAVE READ ARO EKAMINEO THIS APPLICATION ARO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS AND ORDINANCES THE WORK V ILL BE COIIPt. 0 WITH TNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO ei NCE OF CONSTRUCTION. GOVERNING THIS TYP �VIOLATE Signe4. Pn C� v hereby affirm that I _1i Contractor (sign HER STATE OR LOCAL LAW REGULATING CONSTRUCTION I THE PERF Date .� LIC SED CONTRACTORS DECLARATION 2p( t and Professions Code, and my license is in full_forsp and effect. Date 2 1 . C9 OWNER - BUILDER DECLARATION ( ) 1, as owner of the property, or my employee$• with wages as their sole compensation, will do the work, and the structure is not intended or offered for safe. ( ) I. as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date WegaffiefigY.g14 8}S' tilii YJ C47iL'L'?i'SFrtaltOWA W.eilt t OMW0r. 1, 1.0a.. veuwn.3. w.+ mw. m ,041,..^rt.kratr!wn,14,01s:YMtt .M.w+.wrr:. .1.1i` tenta+.x:...-:s...<,aw .ne.*rnr,w:4∎10,V ,,... r. .r.a..+rru,ww:rvtuw,an.,6ur.Ffn 711,61 zxusYrxu.�.scw� CITY OF TUKWILA Building Division 6200 Southcantsr Boulevard lUliwlla. Washington 98188 (206) 433 -1849 Type of Inspection /4Ui9-C- Site Address /(ptiab Requestor Special Instructions ' I 4, J2Lt -t 4_ INSPECTION RECORD PERMIT # Date '3/Ogg Date Wanted j/6 Cf /b't Project fl7UP_/2 Phone # $3q -35" '/ a.m. p. Inspection Results /Comments: THE FOLLOWING...COMMENTS APPLY TO AND BECOME PART. OF THE APPROVED.. PLANS UNDER TUKWILA BUILDING PERMIT NUMBER a/ 1. No changes will be made to plans unless approved by Architect and Tukwila Building Department. 3. Al]. permits to be posted at job:. site prio construction. 4. All construction to be done in conformance with approved plans and requirements of the Uniform Mechanical Code (1985 Edition) CITY OF TUKWILA Building Division 6200 Southcenter Boulevard MECHANICAL PERMIT APPLICATION Tukwila, Washington 1B1$$ - (206) 433 -1845 Site Address Project Name /Tenant Valuation of work l‘40Q CONTROL# O) -YY) u7'NCENTER PAI?..v1Ay Suite# 50-g Floor# 1 rr tvAi. D M05-K1 `?Z"5,64- Assessors Account # Property Owner Phone 6 8z z6 80 Address 4 4: op ✓r 10; ,Cv„C ���v Zip 9 <P/0/ Applicant !✓ AG DO 4 JAI c� t ti -�.r r2 C_o Phone 7t03 Address LI(243 fAc_ f= +u 1--Sri14 -r Zip q816,p) Architect /Engineer Address GE.-r2 tz C W - s Phone Contractor M Ac» Dom NA L--D 11i g-z.vz Cc License# MAC Dom 2.4E T Address 11 L7(pl PA-CI ri - HaNY 5, SEAT -L�, Describe work to be done w i n ( ' VK.pos►1rtoJ(wc, of 7ue r r71 r✓P i v s ect G r2r LLcs 76-94)d X24 Zip Phone 76,3- ¢ob Zip -re> f`GLOMO'pATr r--3 v2-- -re Q l,k NN T I M yz NT Indicate the type of equipment to be installed, rating /size of equipment, and number of each: TYPE RATING /SIZE NUMBER (AoNv.- 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 EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Applicant /Authorized Agent (signature) • evz- Date '):2• / ( 8 (print name) l' war. 1,13. Cvva ---r5 Contact Person (please print) Phone 7(93 - -Gi 4 vv FEES: OFFICE USE ONLY Basic Permit Fee v (000/322.100) S /.5,00 Receipt# Date Paid Unit Fee (000/322.100) _6,-25- Receipt# Date Paid Plan Check Fee (000/345.830) Receipt# Date Paid Other ( / ) Receipt# Date Paid TOTAL (OWES: S f a, DATE IA DATE OUT COMMENTS BLDG 3-it-i'8 15./gg/ Approved for IssuanceS0 , PLNG , Approved (Initials]