HomeMy WebLinkAboutPermit 0089-M - General MedicalCITY OF TUKWILA C
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433-lag 's49 BUILDING PERMIT
PERMIT # GO EcS-
88 -086 -M
Control #
Work to be done HVAC
Site Address 18325 SEGALE PK DR "B" Suite If Tenant F E&AL MEDICAL
Building Use N/A Assessors Account # "7
Property Owner SEGALE BUSINESS PARK Phone # 575-3 00
Address 18010 SOUTHCENTER PK �A— Zip 98138
Contractor MCKINSTRY CO. ##MCKTN ** � Phone 762 -3311
Address P.O. BOX 24567 .� Zip 98124
FOR BUILDING PERMIT ONLY
Approved for Issuance By:
S Ft.
Sq.
Office
Storage/
Warehouse
Retail
Other
Occ.
Load
1st Fl.
2nd F1,
3rd F1.
Total
Fire Protection: ❑ Sprinklers [] Detectors
Zoning Type of Construction
Special Conditions
Date: // -/7-6)
Fees
sq. ft. @ 1st F1.
sq. ft. @ 2nd F1.
sq. ft. @ other
sq. ft. @ other
Total Valuation of Construction
Bldg. Permit Fee Receipt #6s03
Plan Check Fee Receipt #4,5--6-1
Demolition Receipt #
Surcharges Receipt #
Other Receipt #
Other Receipt #
TOTAL
$
$
S
7,000
$ 28.00
$
3
$ 35.00
FUR SIGN PERMIT ONLY
O Permanent ❑ Temporary
O Single Face ❑ Double Face ❑ Wall Mounted ❑ Free Standing ❑ Other
Building face Setbacks: Front
Square Footage of each sign face
Special Conditions
Side
Side Rear
Total square footage of sign
THIS PERMIT BECOMES NULL AND VUID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION UR WORK IS SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE UR S.9NCEL THE PROVISIONS Of ANY 0TH) STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed
I hereby affirm that I am
Contractor (signature)
Date // ' /7. re
LICENSED CONTRACTORS DECLARATION
licensed provi ions of the Business nd Professions Code, and my license is in full force and effect.
Date //' LY
OWNER- BUILDER DECLARATION
( ) 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.
( ) 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) 433-101c igNPq BUILDING PERMIT
PERMIT # 00 a5 -"1
Control it
88 -086 -M
Work to be done HVAC
Site Address 18325 SEGALE PK DR "B" Suite # Tenant RAL MEDICAL F
Building Use N/A Assessors�Ecount # �f
Phone it 5 Zi 5- 398138
Phone # 762 -3311
Zip 98124
Property Owner SEGALE BUSINESS _PARK
Address
Contractor MCKINSTRY CO. #MCKTN* *372ND
Address P.O. B
18010 SQUTHCEN_TER PK TUKWILA, WA
FOR BUILDING PERMIT ONLY
Approved for Issuance By:
Sq. Ft.
'UT-FT.
Office
Warehouse
Retail
Other
Occ.
Load
2nd Fl.
3rd Fl.
Total _
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning Type of Construction
Fees
Date: 1/-/ 7-81
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Total Valuation
Bldg. Permit Fee
Plan Check Fee
Demolition
1st F1. $
2nd Fl. $
other $
other $
of Construction $ 7,000
28.00
7.00
Receipt #6so'i $
Receipt #d sad $
Receipt # $
Surcharges Receipt # $
Other Receipt # $
Other Receipt # a
=MINIM -
S 35.00
TOTAL
Special Conditions
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 BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR
ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TOE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR SJICEL THE PROVISIONS Of ANY OT 19 STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE (0 CONSTRUCTION.
Date //' /!"Z'. P8'
LICENSED CONTRACTORS DECLARATION
I hereby affirm thet I am licensed under provitions of the Business,+nd Professions Code. and ■y license is in full force and effect.
Contractor (signature)_
Signed _
Date /' / ?' • eT
OWNER- BUILDER DECLARATION
( ) 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.
( ) 1, as owner of the property, art exclusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
CITY OF TUKWILA
Building Division
6200 Southc.nter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspection_
Site Address l bra,, s-
Requestor
t
INSPECTION RECORD
PERMIT # - sr,- ji
Date
/(-3o- Y,'
Date Wanted-nu/Ad ix -,- cy a.m.
Project
Phone # 74 2 3 3 r i
Special Instructions
Inspection Results /Comment 9.4'
Inspector 44 ("5. A/51;AI
Date: /),-
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A
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GEGALE 77
ENGINEERS NORTHWEST, INC.
6869 WOODLAWH AVE. N.E.
SEATTLE, .WASHINGTON • 98115
OWN: /V. W
ENG'0:
DATE:. / 1- b -bb
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