The URL can be used to link to this page

Home My WebLink AboutPermit 0050-M - Pizza HavenCITY OF TUKWILA Building Division( 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 43341.1* 15"" BUILDING PERMIT Work to be done Site Address 'I' ;'N AVE S. Building Use N/A Property Owner BEDFORD PROPERTIES Address 3470 MT. DIABLO BLVD #200 Contractor ROWLEY REF. #ROWLEI212 *9 HVAC PERMIT / O ogp Control 0 88 -047 -M uite enant PIZZA HAVE Assessors Account 0 N/A Phone 0 (415) 283 -8262 LAFAYETTE, CA Zip 98549 hoonel 488 -2812 BOTHEL WA Zip 98011 By: w� IA�;�,� Date: 1/ Address 16529 SIMONDS RD N.E. FOR BUILDING PERMIT ONLY Approved for Issuance Sq. Ft. 1117T1% Office y; ;h0ufe Retail Other Occ. Load n. . 3rd FT. _ _ -Total Fire Protection: ❑ Sprinklers [] Detectors Zoning Type of Construction Special Conditions ees sq. ft. A sq. ft. sq.. ft. P sq. ft. 0 1st F1. 2nd F1. S other S other $ Total Valuation of Construction S 500.00 Bldg. Permit Fee Plan Check Fee Receipt 0 S 7.88 Demolition Receipt 0 S Surcharges Receipt 0 S Other Receipt 0 S Other Receipt 0 S Receipt S 31.50 TOTAL - s 39.38 FOR SIGN PERMIT ONLY ❑ 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 Speciattonditions THIS PERMIT IECU10 S NULL AN x011 IF WORM ON CONSTRUCTION AUTNO111E0 IS NOT COMMENCED WITHIN 1110 OATS. ON IF CONSfIUCT10N UR wURK IS '.,S'EHUEO OR AIAN00NEU ful A PENl00 Of 1110 OATS AT ANt TINE AFTER WORN IS COMMENCED. I NEAEIY CERTIFY THAT 1 NAVE IOVERNEMEUN S TYPE OfT �Sloned -- � /�% •It I hereby affirm that l • Contractor (signature) ANS E INFO THIS APPLICATION AND NNUN THI SAME TO IL TRUK AND CONNECT. ALL PROVISIONS Of LANS ANU ORDINANCES 111 C 0 WITN WHITMEN SPECIFIED HEREIN 01 NOT. THE ORANT111R OF A PERMIT DOES NOT PRESLME TO GIvE AuT.ONITY TO I � ARV OTHER STATE ON LOCK LAW NNIILATIIID CONrTNIIjJ�i0 0000 /j�1�, PERFORMANCE of CONSfeuCTl0N. Date �iij(/ (% Y7TJ IC D CONTRACTORS DECLARATION •e 0 t� minim and Professions Cede, and h lilt of it iN 1 11 orce And a / /act. T Date (d�� OWNER - BUILDER DECLARATION ( ) 1, as owner of the property, or my employees, with wales es their sole conformities', rill do the wort, and the structure is not ,n'. ^aeo o► offered for sale. ( ) I, as owner of the property, • exclusively contracting with licensed contractor's to construct the project. Oat, Owner (signature) CITY OF TUKWILA dr Building Division TIL 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - ISP9 BUILDING PERMIT Work to be done Site Address Building Use N/A Property Owner BEDFORD PROPERTIES Address 3470 MT. DIABLO BLVD #200 Contractor ROWLEY REF. #ROWLEI212 *9 Address 16529 SIMONDS RD N.E. HVAC .1'., N AVE S. PERMIT # Control # 88 -047 -M u to enant PIZZA HAV Assessors Account # N/A LAFAYETTE, CA BOTHEL WA FOR BUILDING PERMIT ONLY Approved for Issuance By: Phone # (415) 283 -8262 Zip_ 98549 Phone # 488 -2812 Zip 98011 Date: Sq. Ft. lst q FT. Office ce scorapi Marlhout! Retail Other Occ. Load 2nd Fi. - ' 3rd F1. L Total Fire Protection: ❑ Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions iC ees sq. ft. P sq. ft. @ sq. ft. P sq. ft. @ 1st F1. S 2nd F1. S other S other S Total Valuation of Construction S 500.00 Bldg. Permit Fee Receipt #A'(? L S 31.50 Plan Check Fee Receipt # S! 7.88 Demolition Receipt # S Surcharges Receipt # S Other Receipt 0_ / S Other Receipt 0 $ TOTAL S 39.38 FOR SIGN PERMIT ONLY ❑ 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 PERRIT IIECuMES NULL AND VOID IF UOAR ON CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1110 OATS, OR IF C0*S!IIUC!1QM UA'URA IS .,SJEruED OA AOANOONCU Full A PERIOD OF 10D OATS AT ANT TIME AFTER NORM IS COMMENCED. I HEAEN CENTIFT TINT I NAVE woes VIOLATE OR ON C TVA( OFftfl IjAp AND Eyyy111��INN THIS APPLICATION AND %NUM THE SAME TO 11 TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES LL 11 Cq/Ll[0 *ITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ROES NOT PRESUME tU GIvE auTmOelT! TO „lug* OF . A T OTIEN STATE OR LOCAL LAN A<OIDATING CON�TNIIKI� 0 _., PERFORMANCE OF CONSIsuCtION. • -.� , Date L'' —.A-. I hereby-affirm that 1 am Contractor ltigneturel_ V l 1 1 I. as owner el the property6 or offered for sale. I ) I. as owner Of the property. en Owner Itignature) IIC CONTRACTORS DECLARATION lees o1 tM.'wtness and Profession Cede. and /y,llcg10 II 9 11 orc! And effect. ��— Date (i.,t /�j (/^ OWNER - BUILDER DECLARATION •y egl0yeet, with wage as their tole coNpinsatise, will Is the work, and the structure Is not + ^Oro or eeclutively contracting with licensed contractor's to ceestruct the project. Date CITY OF TUKWILA •Building Division 6200 Southcantar Boulevard Tukwila, Washington 98188 (206) 433-1849 Type of Inspection f/(%I"C.,,:—. Site Address /6.2,09.0 j'r1/ lei-7/ 41ttt% INSPECTION RECORD PERMIT # V'ri' a"-fry% Date Date Wanted a.m. p.m... Project ;72 T71 Requestor Phone # Special Instructions Inspection Results /Comments: Inspector e/t71 -.. Date ;'"1''"d* CITY OF TUKWILA Building Division 6200 southcenter Boulevard MECHANICAL PERMIT APPLICATION Tukwila, Washlnatnn 011188 (206)- 433 -1849 Site Address rot S' L c . 1 -,,. j env /g /94r no - Project Name /Tenant f f,2 JY,gv�w ,f// / Valuation of work FS -00 Assessors Account Property Owner ge. / �rJ) /;.(.s Address r 1 'o. ■ Applicant oN- %, ,e6,FF.',e...ty..r7;vv, Address /G - , 5 S'-, j,7o,Y/2.5 A� Architect /Engineer, e,,,/ (r� Suite# CONTROL# 6t•"01-47,14/1 Floor# Phone /- YiS =a4s Zip Phone Zip °j rrr-a� Phone 9.�rs- Address /L5--0-22 i 'go TA Zip 9 /, Contractor A vv%� �� License# �Q ,�,�/ P Z cAr_4447 Phone s 4.7.z Address / G r C) T S7r/3-7, -y t le /2 / 47 ,_l/ Zip 91/ Describe work to be done --,L11-.S�,9A G c- ,P1.-.,, rT CD ,./ L4 wC ? //♦ / iv / M c2 Indicate the type of equipment to be installed, rating /size of equipment, and number of each: / TYPE�7 / �1 RATING/SIZE NUMBER /- G5 rD a 4io l �- - c /'7 /) 5 E'�1 �divr�YrvS,'n�G- GA. -,' % / 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 AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZATION TO 00 THIS WORK. Applicant /Authorized Agent (signature) /1t2 Date - /e (print name) Contact Person (please print) Phone cf, 01-5-41 FEES: Basic Permit Fee Unit Fee Plan Check Fee Other TRA KIN BLDG PLNG tP -i3 -86 L 1 OFFICE USE ONLY (000/322.100) (000/322.100) (000/345.830) ( / ) TOTAL Q , 3 it,1I1 .. M/!' pprove or ssuance 4,E1,iiATIO" u /.o Receipt# : Date Paid Receipt# Date Paid Receipt# Date Paid Receipt# Date Paid (OWES: $ 3q38 Approved (Initials) /b-