HomeMy WebLinkAboutPermit 0058-M - Dang Residence #4CITY OF TUKWILA 47
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 4114; liNP9 BUILDING PERMIT
PERMIT if 0051-01
Control # 88 -059 -M
Work to be done Furnace
Site Address 14108 -55 Av S Suite # Tenant Danq psi ence
Building Use Residence Assessors Account # N/A
Property Owner Byung Suk Dang Phone #242-9844
Address 2115 S.W. 122nd P1., Seattle, WA Zip 98146
Contractor Seattle Sheet Metal #SEATTSM282NA Phone #763 -8091
Address 10032 16th S.W.. Seattle. WA Zip 98146
7L<
FOR BUILDING PERMIT ONLY Approved for issuance hv:
Sq. Ft. Office
ZS�FT.
Znd FI.
3rd FT.-
Storage/
Warehouse
Retail
Other
Occ.
Load
-Tital
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning Type of Construction
Date: 7-/'-
Fees
sq. ft. 6 1st F1. S
sq. ft. Q 2nd F1. $
sq. ft. P other $
sq. ft. @ other $
Total Valuation of Construction $ 2,100
Bldg. Permit Fee Receipt 00r5" 34'5 S 15.00
Plan Check Fee Receipt # $ 3./5
Demolition Receipt # $
Surcharges Receipt # S
Other Receipt # S
Other Receipt # S
TOTAL
S 18.75
Special Conditions Gas piping permit required through King County.
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 PERMIT BECtMES NULL AN x010 11 WOW ON CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1110 OAVS. OR IF CONSTRUCTION U. wURK IS ',.JSbE40C0 UR
ABANDONiU FuR A PER100 OF 1110 0A1S AT AN1 TIME AFTER WORN 1S COMMENCED.
1 HEAEIV CERTIPV THAT 1 HAVE REA0 AND EXAMINED TNIS APPLICATION ANO KNOW THE SANE TO GE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AMU OROINANCES
GOVERNING THIS 1 OF WORN WILL 111 COMPLIED WITM R SPECIFIED HEREIN CO NOT. THE GRANTING CO A PERMIT DOES NOT PRESUME TU GIVE AUTp0AITr TO
.A10LATE OR d L THE PROW EONS ANT 0 R STATI ON LOCAL LAY RENR.ATINO CONSTNUCTION ON THE PERFORMANCE OF CONSTRUCtION.
Oviigned T>r . i .. /A_./ Oslo
7 LICENSED CONTRACTORS DECLARATION
ed ovl s 11 tl� UM, .M Professions Cop. sod Ny Moose ise force and effect.
ifs Dato -[
p�� l hereby affirm that 1 701
' Contractor (signature)
OWNER- BUILDER DECLARATION
1 ) 1, as owner of the property. or fry employees. with wools As their Sole coopensat+M. will d0 the reek. and the structure Is not , ^ ".^otd or
offered for sale.
( ) I, as owner Of the property. ma exclusively Contracting with licensed contractor's to Construct the project.
Owner (signature) Date
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - Ism BUILDING PERMIT
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
Furnace
PERMIT # 0Q5-13-0/
Control 0 88 -059 -M
t:
v S
Residence
Byung Suk Dang
2115 S.W. 122nd P1.,_ Seattle, WA
Seattle Sheet Metal #SEATTSM282NA
1003a 16th S.W., Seattle, WA
u to
Assessors
enant Dang 'esi'ence
Account # N/A
Phone 0242-9844
Zip 98146
Phone 1763 -8091
Zip 98146
Approved for issuance bv:;� ", Date:
FOR BUILDING PERMIT ONLY
Sq. Ft.
TstFT.
Office Storage/
Warehouse
Retail
Other
Occ.
Load
Znd Fl.
3rd F1.
1.
Total
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions Gas piping permit required
eels
sq, ft. A
sq. ft. P
sq. , ft. 0
sq. ft. e
1st F1. S
2nd F1. S
other S
other S
Total Valuation of Construction S 2,100
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #t/y(5 S 15.00
Receipt 0 S 3.15
Receipt 0 $
Receipt 0 S
Receipt 0 S
Receipt 0 I
���iNME
S 18.75
through King County.
FUR SIGN PERMIT ONLY
❑ Permanent (] Temporary
[j Single Face Q Double Face [] Wall Mounted Q Free Standing ❑ Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PEAN11 SUMS MULL ANO 10111 O WOlI ON CONSTRUCTION AUTHORIZED IS NOT CJIINCLD WITHIN 110 OA /S, ON IF CONSTRUCTION 011 rUAK IS ..,S0(0,0t3 pA
AIANOOItiU Fuel A PEN1O0 Of 1110 OAFS AT ANI TIME NTII 11011 IS CONRNCI0.
1 NENE$1 CERTIf1 THAT I NA1[ MAD AND [*AMINES ISIS APPLICATION ANO KIM TOI SAN, TO K TN111 AND CORRICT. ALL PROVISIONS OF LAYS Ahu :aoiMAnCES
Gp1ERNIN11 1115 1 0f 11011 Will K COMPLIES WIT' N SRCIII[0 NISEI' OR NOT. 111E WANTING OF A PEWIT XIS NOT PAESLOI 10 GIVE Au?^ONIit tt
IOLAIE ON 4,171% 14 PROM »IONSS ANT 0 N STATE ON LOCK LAN 'ISOLATING COMSTNUCTICN ON THE NER?ORNANCt Of COnStIUCTION.
A-:441 here./ •first that 1 on
Contractor (signature)
LICENSEp CONTRACTORS DECLARATION
ser wGyt f t iwlneff and /re /MSlenf Cods.
Mao owl ay 1 1.�s force and efface.
OWNER - BUILDER DECLARATION
( ) 1. as owner of tho property, or ny an/loyees, with wages as their sole conge0Satlis. will d• the wort. and the structure is 'ot +'1lO or
offered for sale.
( ) 1, as Owner Of MO property. or exclusively contracting with licensed contractor's to construct tho project.
Oat.,
Owner (signature) __
CITY OF TUKWILA
Building Division
KTukwila,tWiihinotonu198188
(206) 433 -1849
Type of Inspection
Site Address /-//66 47
Requestor
INSPECCON RECORD
PERMIT # 00#-(57—
Date
Special Instructions
Y
Date Wanted '7/-2/ -
Project A54/4-
Phone #
a.m..D.m.
Inspection Results / mments:
•
Inspector
Date /4'i
CITY OF TUKWILA
Building Division
$200 Southeenter Boulevard MECHANICAL PERMIT APPLICATION
Tukwila, Washinetnn ems
(206)- 433 -1849
w••
CONTROL# ? ff -05-q— fl
Site Address / //C3 .:T5.u/ S LUG 7 Suite# Floor#
Project Name /Tenant 4 u i eA 5 r
Valuation of work . / D Assessors Account # -14//4-
Property Owner i'h c B'y L044/4; c/ AC %>a. Phone ,11/ -9/(i
Address // S S_. t t/ l2 2A /I PL S Lc-zzw/ Zip eP/ t /4
Appl i cant -�,v s�si�.��i�r�.:.�...�irs��d 7izeintti /4I c Phone
Address /f1_Q_ -.z f Zip 9`1-6-
Architect /Engineer
Address Zip
Contractor 5Aa77Y_e_ 1-e ! 7- 74tl.License# ,;,e /ft 7 $k)S2A//, Phone ;7&; _ e)
Address /4'O 3 2 - L.A./ Zip 9,,r/'/ -
Describe work to be done A49 G c_
Phone
Indicate the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING /SIZE NUMBER
6
ray
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.
Date
Phone_1(41 - PO
Applicant /Authorized Agent (signature)
(print name)
Contact Person (please print)
Bit L /3vr atc.
OFFICE USE ONLY
FEES: Basic Permit Fee (000/322.100) $ /5' 0 0 Receipt# Date Paid
Unit Fee (000/322.100) ,3, 75" Receipt# Date Paid
Plan Check Fee (000/345.830) Receipt# Date Paid
Other ( / ) Receipt# Date Paid
TOTAL __1k2.. (OWES: $ is, 75-- )
TRA K N
PLNG
pprove or ssuance
Approved (Initials)