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Home My WebLink AboutPermit 0088-M - XeroxCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 - /WI BUILDING PERMIT PERMIT # 0036—in Control # 88 -078 -M Work to be done HVAC Site Address 16550 W. VALLEY HWY Suite # Tenant XEROX Building Use N/A Assessors Account # N/A Property Owner FIRST WESTERN PROPERTIES Phone # 771 -2300 Address 4230 198TH ST S.W. LYNNWOOD, WA Zip Contractor CROSSROADS MECHANICAL #CROSSMI158LY Phone # 882 -2043 Address 2879 152ND AVENUE N.E. : loll di Zip 98052 FOR BUILDING PERMIT ONLY Approved for Issuance by: R I M W O W Date: /i. 7..g Sq. Ft. Office Warehouse Retail Other'Occ. Load 1st F1: 2nd FT. __ 3rd F1. .- Total _ Fire Protection: ❑ Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd Fi. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 7,000.00 Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other Receipt #(031, $ 46.00 Receipt #.62;2 LC . $ 11.50 Receipt # $ Receipt # $ Receipt # $ Receipt # TOTAL $ 57.50 FUR 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 Special Conditions Total square footage of sign THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED l5 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 1S COMMENCED. 1 HEREBY CERTIFY THAT I .AVE READ AN' GOVERNING THIS T j >0 •'K WILL B�' VIOLATE OR C THE PROV .+ iloki6igned - ,� .�.-- I hereby affirm that I am lice ntractor (signature )(AWNED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES LIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO OF ANY OTHER STATE OR LOCAL LAW REGULATING C N TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Date ste LIC ED CONTRACTORS DECLARATION r provision the Business and Professions Code, and ply license is in full force and effect. Date / 7 /e rJ OWNER - BUILDER DECLARATION ( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) 1, as owner of the property, am 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 - VAP9 BUILDING PERMIT C PERMIT # Control # 88 -078 -M Work to be done HVAC Site Address 16550 W. VALLEY HWY Suite # Tenant XEROX Building Use N/A Assessors Account # N/A Property Owner FIRST WESTERN PROPERTIES Phone # 771 -2300 Address 4230 198TH ST_ SA. LYNNWOOD. WA Zip Contractor CROSSROADS MECHANICAL #CROSSMI158LY Phone # 882 -2043 Address 2879 152ND AVENUE N.E. REDMOND, j4) j Zip 98052 FOR BUILDING PERMIT ONLY Approved for Issuance by: Sq. Ft. Office Warehouse Retail Other Occ. Load T t FT. 2nd Fl. 3rd Fl. Total Fire Protection: ❑ Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions Date: /I. 7_FY Fees sq. ft. @ 1st Fl. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 7,000.00 Bldg. Permit Fee Receipt #&.A/13 $ 46.00 Plan Check Fee Receipt 1#12;3401 $ 11.50 Demolition Receipt # $ Surcharges Receipt # $ Other Receipt # $ Other Receipt # $ TOTAL $ 57.50 FOR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary ❑ Single Face [] Double Face [] Wall Mounted ❑ Free Standing [j Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL AND VOID IF ABANOONEU FUR A PERIOD OF 180 OATS Al 1 HEREBY CERTIFY THAT I GOVERNING THIS VIOLATE OR C (1 _Signed AVE READ AN 'RK WILL 8 .4 THE PROV S WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 SUSPENDED OR ANY TIME AFTER WORK IS COMMENCED. 11AMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES LIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO OF ANY OTHER STATE OR LOCAL LAW REGULATING 91,5TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Date d/r/ (�( hereby affirm that I an lice l�ontractor (signature LIC rr provision ED CONTRACTORS DECLARATION the Business and Professions Code, and y license is in full force and effect. Date OWNER- BUILDER DECLARATION ( 1 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date nimeawmg ,tlAl�`Pk °&`t.V >^C:Pi n7' 4dY£ K, y7. 5iu5PtitvarrreacYU« wcw, w•..: unr�: �,. �,. v,.,s.».r.a�swxn;u,.rt.:w -..,r A.• N+h:�wwxJ.;c..ruv�. anvwv:rn <n� „y.Y r.. rwc CITY OF TUKWILA . BGildjng Division Tukwilla,,tWashinvton Boulevard 98188 (206) 433 -1849 INSPECT NN RECORD. PERMIT .# 1 2 yi Al Date 1/— / k -112 Type of Inspection Site Address Zequestor Special Instructions Date Wanted „ a,_ a.m. Project V n � Phone # Ye Inspection Results /Comments Inspector Date ..,....1.4 .............,......,,«.....,..,.4.44..1.4...10. u01.0.0-1..1...».... ».....,.....4.,...1{.r 14.11 1..91.A..yr✓ 4rat.r3+v.G4ttikerig 1,01a CITY OF TUKWILA OuI1gin9 Division, Tukwila,,tWashinotonu198188 ' (206) 433 -1849 'ype of Inspection ;ite Address 4,5-50 L,J c4 tequestor INSPECTION RECORD oo et PERMIT # J'- 23 Date Wanted •6YWt°'` l I -JJG a.m. p.m. Project k g,,,,o2!' ea--/ Phone # special Instructions Inspection Results /Comments: /ii 4gcr 5 Inspector Date ' CITY Of TUKWILA Building Oivlsion 6200 Southeenter Boulevard Tukwila, Washinotnn 'Alga (206)- 433 -1849 MECHANICAL PERMIT APPLICATION CONTROL# �F{- 6 75' -/I Site Address I Lo 660 10, llotilai Utt7L( Suite# Floor# Project Name /Tenant j(t12Q,[ t Valuation of work '7006 4 Assessors Account # Property Owner cr i r 54' Lv` E'$-re i" jj,, QC:1=E 1 CT' 1 5 Phone 7 7 /-Q 300 Address t+ a 3r, 1geir4- , ..st , -? tom L.-4,m„,,„,,,,„,,3, Zip Appl i cant OR_ / 65 (j_r,47)-6 64A-4 A ri_D ILA L Jru0 Phone 15"`eo2 —0-093 Address — i Zip '7�i 5 a A v-e r 5 C 6b non vI D Ile) S a, Architect /Engineer Phone Address Zip Contractor 4 454 T 6 filalikujc4micense# c2 zi 5 /V1) 15.21_,S Phone 'IM:9— O4 /3 Address - .Arit L Describe work to be done -rA t. L. 9.o64i bA 4i UAL.. 1,01;715 I -h uc- 1°'L7aleK d9 Vl g . kg_i_bC.' AT S x (5T tr Gn to "r 146)e_._ P . Zip Cat Indicate the type of equipment to be installed, rating /size of equipment, and number of each: TYPE RATING /SIZE NUMBER P LJ. It . i o a Fi Q. o0 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) Li 0.4— (print name) 114:. Contact Person (please print) -.411y) to ofiftel L , ! . Phone'`ea 0 3 1OCT 18 1988 I t , FEES: Basic" Perm,tt -Fee; ., Unitee;.:•i . Plan Check Fee -,' Other RA K N OFFICE USE ONLY (000/322.100) (OOp/322.100) (000/345.830) ( / ) TOTAL s t_500 /,5'0 5'% 50 Receipt# Receipt# Receipt# Receipt# (OWES: S Date Paid Date Paid Date Paid Date Paid BLDG 10-10-n 0..161-e8 Approved for Issuance PLNG II -I -% Approved (Initials) 1400 68 ,si 'P..e/ ./o swelling et an op"- . �� sable_ Gut% cobra-kilo/4- exeV— o th /u —i -16eit