HomeMy WebLinkAboutPermit 0052-M - BoschCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - liNP9 BUILDING PERMIT
Work to be done ,�
Site Address 12gf4 TINTERUBBAN- AVENUE S. uAssessor Accountn# N/A
HVAC
PERMIT # i O 5 (2-j'(
Control # 88 -048 -M
Building Use N/A
Property Owner 34700MT.P
Address 3470 MT .,_...,��
Contractor PAC AfRE 3PACAII *154BE
Address 19212 70TH S.
VD #200 LAFAYETTE, CA
KENT. WA
FOR BUILDING PERMIT ONLY
Approved for Issuance By:
Sq. Ft.
Tss FT:
Office
is regui,
Retail
Other
0cc.
Load
�_
2nd FT.
_
3rd F1.
_
Total
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
Phone # (415) 283 -8262
Lip 94549
Phone # 395 -4004
Zip 98032
Date: 76-3'
Fees
sq. ft. st
sq. ft. 8 2nd F1. S
sq. ft. ! other S
sq. ft. A other S
Total Valuation of Construction $
Bldg. Permit Fee Receipt �I9,2 S
Plan Check Fee Receipt 07577, S
Demolition Receipt # S
Surcharges Receipt # S
Other Receipt # $
Other Receipt 0 S
TOTAL
3200.00
28.50
7.12
$ 35.62
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 PERNIT YECtiE S NULL ANO 0010 IF WORK ON CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 110 OAVS. ON IF CONSTRUCTION On wUNN IS '.,S'EsUEO On
ANANOONLU FUR A PERIOD OF 110 OATS AT ANT TIME AFTER WORN IS COMMENCED.
I MENU? CENTIFV THAT I NAVE MAO AND CIMINO THIS APPLICATION ANO RNIMI Tog SME TO 11 TRUE ANS CORRECT. ALL PROVISIONS OF TANS AMU ORDINANCES
GOVERNING THIS TYPE OF HORN WILL 11 COMPLIED WITH WHEN SPECIFIED N*I1IN OR NOT. TIE GRAMTI01 OF A PEN1111 011LS NOT PRESUME TO GIVE Aut,ORITT t0
VIOLATE ON CANCEL THE PROVISIONS OF ANT OTHER STATE OA LOCAL LAM 11GILATINI CONSTRUCTION M THE maionuct OF CONS(RUCTION.
Signed Oats fC
LICENSED CONTRACTORS DECLARATION
1 hereby affirm that 1 M licensed under provision of the Maine's and Professions Cede. oM ley license is in full force and effect.
Oat.
Contractor (signature)
OWNER- BUILDER DECLARATION
( ) I. as owner of ten proporty, Or sty agloyees. with hales n their tole compensation. wIll de the work, and the Structure is not e.. °oed or
offered for sale.
I ) I. as owns, of the Property, M exclusively contracting with licensed contractor's to construct the Project.
Mite
Oweor lsignaturel
CITY OF TUKWILA e
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433-10C ig ? BUILDING PERMIT
Work to be done
Site Address 12QRA TINTEPURBAALAALENUE S. u to enant : F •
Building Use N/A Assessors Account # N/A
Property Owner n�n�n PR(1D �S Phone 0 4151 283 -8262
Address `70 MT. DIA 6LVD #200 LAFAYETTE Zip 94549
Contractor PAC AIRE 3PACAII *154BE hone 3'5
Address 19212 70TH S.
HVA
1
PERMIT f
Control 0
0 U -,;2-,,k(
88 -048 -M
KENT
WA
FOR BUILDING PERMIT ONLY Approved for Issuance By:
Sq. Ft. Office
111 71%
Znd Fl.
r .
Storage/
Warehouse
Retail
Other
Occ.
Load
Total
-4004
Zip 98032
Date: 71-W
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
ees
sq. ft. 0
sq. ft. 0
sq.. ft. 0
sq. ft. 0
1st F
2nd F
other
other
1. S
1. $
$
S
Total Valuation of Construction S
Bldg. Permit Fee Receipt 04J1.2. $
Plan Check Fee Receipt 114/2(1.- S
Demolition Receipt 0 S
Surcharges Receipt B S
Other Receipt 11 S
Other Receipt d S
TOTAL
3200.00
28.50
7.12
��_�
$ 3.62
FOR SIGN PERMIT ONLY
❑ Permanent ❑ Temporary
❑ Single Face ❑ Double Face 0 Wall Mounted J Free Standing ❑ Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions •
THIS PENNIN AICUNIS NULL MS IOW If NOS ON CONSTRIICIIQN AUTN02I110 IS NOT COIOSNCIO WITHIN 100 OATS. OR 1i COMSTRUCTION on uUAK IS '•.iS'tvo(0 OA
Au►NOONiU full A PEO100 OF 100 IRIS AT AM TINS NHS WINK IS CaNSOCS°.
1 HUIIT CLOTIFT THAT I NAVE REAL AN IT1Al1IIS0 THIS AIPLICATION AN RIM THI SANS TO IS TIN ANO CONNECT. All PROVISIONS OF LAWS ANU OAOINANCES
SOVENNINO THIS HMI OF WORN WILL 0t COIRIEO WITH WIGTO N SPICIFIIO MUM ON NOT. INC MANTINO OF A PEN11T DOSS NOT POISONS rU OITt Auf,OAIty 10
VIOLATI UR CANCEL TM PROVISIONS Of ARV 0141 STATE ON LOCAL LAIN AOMN.AT1 11 CONSTRUCTION ON 14 NIIONIANCI aF CONStIUCT1ON.
Signed_ 00tH 7-9-w
LICENSED CONTRACTORS DECLARATION
1 herNy afflr. that 1 M licensed under provision of the Onions aM Profession CON. an •y liana is IN full fora and effect.
Contractor (signatwe) Date
( 1 1. as 'rimer Of the property.
Worse for tale.
(
• I. as o.RO, Of ton property. ONO exclusively ceetractln0 with 11cens0 contractor', to constrwct ton project.
Onwer Isignatur0)_
OWNER•BUILDER DECLARATION
or ey egleyeea. with rags, as their tole coape0tatIS. will N the work. and the Structure is not •m,+^aro or
Oat*
I1'
'CITY OF TUKWILA
Building Division
Tukwila,tWashinotonul91118
(206), 433 -1849
Type of Inspection A4//} G
Site Address /,// �24Q11ufr / A2z/
Requestor
INSPECTI . N RECORD
PERMIT # 005--Z-11/
Date 7-7-lei?
Date Wanted 7 -8-F8
S. Project /li'jGy
Phone #
Special Instructions
Inspection Results /Comments:
Inspector
Date
c» 074e orClzr, 12 10
C.-P-11Tr*P J PLIIWF-11 EM-AI-1CURJ5
2
1-
0
tc
0(1&-1-1 4s PuRLIki
l-10
Ky6-1:01Z-vr
UNIT- TOTAL- 14.1014H1 .:, 760'ff"
MAX.
11
MN, Z,O ttmlW
60--trok.4 u -510
A.
11110■1•0•11M01••■•••1
CITY OF TUKWILA
APPROVED
JUN 1988
PLAN
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D HUDSON & AS OPIATES, INC.'
CONSULTING EN , „r'.RS
1605 I2TH AVENUE • SUITE 18
SEATTLE, WASHINGTON 98122
206- 324.6160
'JON I`. 41 f-
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CALCULATED •Y DATE
CHECKED •Y DATE
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-. CITY OF TUKWILA
,' euilding Division
.,�= 6200 Southcentar eoulevard MECHANICAL PERMIT APPLICATION
—. y Tukwila, Washinatnn 44188
,' (206) - 433 -1849 �/ �i/�
CONTROL# ''is -04v " 1
81.46G -eil� � f F 1 oor #
Site Address �' l/l. 'T"` -�' (� �l {/q- -� S�
Project Name /Tenant n s C(•-4-
Valuation of work 3 2-0 C) Assessors Account # "04"
Property Owner f c9. cci-4 -r-& e.› A-L C-- C Phone / -t' /5 — 83 -eRla ,2.
Address 3 jyLl" �l 10 , :tid. -#,UU, rCc� -e. ` C4 zip 9��4/%
90
Applicant it A < 4 < _ _ Phone .3 9 ,s- 90 U cr
Address ) 9 6:, ( ,Z -2O S, t2 6)4- Zip cl b'Q 3 2-
Architect /Engineer Phone
Address Zip
Contractor License# PA -4p-t 9s---/Ls- hone
Address S ok- -EAAJI Zip
Describe work to be done (177. `- 4.4--c 1
1 -- v2 —MY_O v) 6 ue1/4-Z-3 44c.
Indicate the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING /SIZE NUMBER
,,, , l,,i b 3 c -_ C. k1.._k 1
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 OW 'S AUTHORIZATION TO DO THIS WORK.
Applicant /Authorized Agent (signature) 0,_ 2 Date " 20- g
�"
(print name) IRO ra.e t-2A- Y14,0 -1 1-e vt.)
Contract Person (please print) S (AAAA -t. _ Phone 3
OFFICE USE ONLY
FEES: Basic Permit Fee (000/322.100) $ I.5O6 Receipt# t-6,t1._ Date Paid '7 .
--1 (000/322.100) /,3,5"0 Receipt# Date Paid
'� (22 ' (000/345.830) 7, /g Receipt#
47-0-111-Y-ee , 1
Date Paid
``' t e' ( / ) Receipt#
Date Paid IF
JUN 211988 1 TOTAL (.19 (OWES: E 3,5. tog )
T A K.
.) Or t .,;,; t,, =,s.;r. , .
U1 2 11!l
BLDG
if4IWY
C0-22.-93
0#3Iol!!!:�'
.. 'irAM,
( "zdet-g5
' pprove' or ssuance " atinW
PLNG
Approved (Initials)