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HomeMy WebLinkAboutPermit 0055-M - Southcenter Mall - Kenneth Behm GalleryCITY OF TUKWILA ( Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - IfiNP, BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address HVAC 646 SOUTHCENTFR MAI1 RETAIL CENTER RTnav rnRa 1 ! u! PERMIT it 0 °S S--4( Control f 88 -050 -M uite enant • Assessors Account I N/A Phone f 246 -0423 Zip 98188 hone 575 -3710 C 1 NSTRUCTION #JMFCOI148MU 552 INDUSTRY DR. FOR BUILDING PERMIT ONLY SEATTI F f)W& Approved for Issuance By: '.rid egx"1! Zip 98188 Date: 7 _y(y S Ft. Sq. • Tst FT. Office Storage/ Warehouse Retail Other Occ. Load 2nd F1. 3rd F1. _ Total Fire Protection: ❑ Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions Fees sq. ft. st . sq. ft. 0 2nd Fl. S sq. ft. • other S sq. ft. A other S Total Valuation of Construction S7--- Bldg. Permit Fee Receipt O c13” $ 24.00 Plan Check Fee Receipt #775173 S 6.00 Demolition Receipt 0 $ Surcharges Receipt 0 $ Other Receipt 0 $ Other Receipt 0 $ TOTAL $ 30.00 FOR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary 0 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 PERHI1 1ECNE S NULL AMO V010 IF MOOR OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 110 DAYS, OR IF CONSTRUCTION 011 wUAK IS 'mS'LNUEO OR ARANOONfU FOR A PER100 OF 110 OAVS AT AMY TIM AFTER MOIR IS COMMENCED. 1 HERESY CERTIFY THAT I HAVE READ AN1 EXAMINED TNIS APPLICATION AND KNOW TO1 SANE TO 1E TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS T1PE OF WORK WILL K Cp .I10 1111 WHETHER SPECIFIED KNEW CO NOT. Tent 11AMTIRS OF A PERMIT DOES NOT PRESUME TO GIVE autpIORITY TO VIOLATE CANCEL INS P*011JIJIOMy OF ANT OTHER STATE OR LOCAL LAW REN0ATIM1 CONSTRUCTION ON THE PE E OF CONSTRUCTION. 4 Sifined '2J2('' r Oete 1- (''- LICENSED CONTRACTORS DECLARATION I hereby affirm that 14 1lcens oder prey' f the 1wisess and Professions Cede. and ey license is in full fora and effect. )( Contractor (Signature) Date -7! f 1. OWNER - BUILDER DECLARATION ( ) 1, as owner of ten property. or ey employees, with wages as their sole c,Npensetlde. will do the wort. and the structure is not ,n•r'9d or offered for sale. 1 1 1. as owner of the property. es exclusively contracting with licensed contractor's to Construct the project. Date Owner lsignaturel__.. CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - 'S4q BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address HVAC 646 SOUTHCENTFR MAI1 RETAIL CENTER Rif]GF f:11Rp PERMIT # C°s i-.„if Control 88 -050 -M Suite it Tenant KENNETH REHM GALLERY Assessors Account # N/A Phone # 246 -0423 Zip 98188 575 -3710 1 CIVSTRUCTION #JMFCOI148MU 552 INDUSTRY DR, SEATTI El'WA FOR BUILDING PERMIT ONLY Approved for Issuance By: ! u %' hone Zip 98188 Date: Sq. Ft. I F'T Office ,s,g:14t, Retail Other Occ. Load Znd Fl . , 3rd Fl. .. _ . . Total Fire Protection: ❑ Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions sq. ft. st sq. ft. il 2nd F1. S sq. ft. # other S sq. ft. @ other S Total Valuation of Construction S 6,400. Bldg. Permit Fee Receipt #'3,3 S 24.00 Plan Check Fee Receipt •/333 S 6.00 Demolition Receipt 0 S Surcharges Receipt # S Other Receipt 0 S Other Receipt # S TOTAL $ 30.00 FOR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary ❑ Single Face ❑ Double Face 0 Wall Mounted ❑ 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 PER1111 MECt, S NULL AM x010 IF VIM ON CONSTRUCTION AUTHORIZE° IS NOT COMMENCED WITHIN 100 OATS. OR IF CONSTRUCTION UR *URA IS %.6.1011)(0 OR ASANOONtU lull A PERI00 Of 100 0x11 AT All TINE AFTER WORN IS COMENCEO. I MEREST CERTIPI THAT I NAVE READ AND WIIANINIO THIS APPLICATION AM KNOW Tell SAME TO IN TRUE NO CCORECT. ALL PROVISIONS 01 LAYS AMU oa01NANCES GOVERNINS THIS TVA( Of 4111 WILL SE C 110 WITN 1RETIEN SPECIPIEO NEQIN OR NOT. TNI SRAN11N0 OT A PERN11 ODES NOT MESI* 10 GIVE Au'.ORITr 10 VIOLATE /, 14 PROM/ 1 ANT 011ER STAR Ow LOCAL LAY R101LATINO CONSTRUCTION OR 1N1 PE I 01 CONSTRUCTION. S i 4-Wel o.t. 7- (5, '� "�oINUNt LICENSED CONTRACTORS DECLARATION I hereby affirm that 11511C110$ NOM Preet 1 1 SRN SVsiness and Prefessiemi Cede. and b license is in full force And effect. Contractor (signature) OsIe OWNER - BUILDER DECLARATION 1 1 1. as owner of tM Property. or •y employees. with wages es their sole conpmtaties. will de the work. and the structure Is not . .'.note or offered for sale. 1 1 1. as owner of tM Property. M exclusively contracting with licensed contractor's to construct tM oreject. OIte Owner lsignatwel____ „_ CITY OF TUKWILA Building Division 620Q Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - 1849, Type of Inspection Site Address (a�-t ' ,So di Pzc / , r }/!j /1 INSPECT 'lN RECORD PERMIT # 5- 0063" Date -7,- �'� off Date Wanted 7- /9- p.m. Project eit 6 42 4,, `^,'a. 1/4,- 1 r DO ch. d VA CItrssicnA Phone # 6 s 2 Special Instructions Requestor Results /Comments: I_M nspector Date CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washinotnn og188 (206)- 433 -1849 MECHANICAL PERMIT APPLICATION Site Addr4 ' 5 ovT/ 1 c. , .'re & MAIL Project Name /TenantIc64 "p1 , ly C,4LLE'Rr Valuation of work Assessors Account Property Owner Address Applicant Address Suite# Ti Coo S (IC S crlht 5 ) (Tel S -33 So !tic c°w I re' L410 / ( £N/ -'ifGY RE-‹ L 4 /Ai ,3R /o6 ,aokr v��Y CONTROL# Cali - 05-0—/1 Floor# PhoneQ ) .2c/6 -U»P (a, (J4 Zip Q 1J /8k Phone 5'4-5 4 5 acs ZiP 98'4��, Architect /Engineer Phone Address Zip Contractor j-/k/ /C Co ti6 r4rriv, -,-) License# Phone 6-76'57/4(D Address 6,6— . i.va4.5 TRY 5L'Arr4' Describe work to be done ,4' -'.- 5 °./T sr'sTEA/ /J c c r 47d o le K �VE�✓ , '. t x Zip fr/6-4..r Pv ti/a Cx / s ritiG Indicate the type of equipment to be installed, rating /size of equipment, and number of each: TYPE RATING /SIZE NUMBER b �Vr 00 0 /2 , rn,4 r /nuMP 07.s ek) r et a /R (Yo.P/c) GSM v a 000 /z)z wo 24alo /70:-Far 5- 14--) z NC n 4, 6-0 I f z fIF M/3 f/ d �. 6 — 9, v -- f/sivF 7,40 6.1cortrwc. c4/0J ?47° M614 Go.0 3,bo 7e" 14-1/31.1 '34 .o coP 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 DO THIS WORK. Applicant /Authorized Agent (signature) (print name) 4/?tHvR 4 n/o4/i' Contact Person (please print) (4✓= ,gimeot-,Q Date --3 -- 98 Phone 5G. 5. ri 5 0 0 OFFICE USE ONLY FEES: Basic Permit Fee (000/322.100) $ /5,()p Receipt# 41393 Date Paid- Unit Fee (000/322.100) q.(2 (a__ Receipt# Date Paid Plan Check Fee (000/345.830) ()p Receipt# Date Paid Other ( / ) Receipt# Date Paid TOTAL ___2O.00 (OWES: $ 3j0, OZ0 ) BLDG Approved for Issuance Approved (Initials) PLNG 6)"0 -4?215- •