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]