HomeMy WebLinkAboutPermit 0097-M - Delgato ResidenceCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - /841 BUILDING PERMIT
Work to be done HVAC
Site Address 5612 S. 133RD
Building Use N/A
Property Owner DAN & TERESA EGBERT
Address 29043 - 59TH PL. S.
Contractor (SELF) D. DELGATO
Address 5612 S. 133RD
Woo() ST0 v6
PERMIT # 00 77 A
Control # 88-098 -M
Suite # Tenant DANNY DELGAIO
Assessors Account #
Phone # 839 -1672
Zip 98001
Phone # 246 -0766
T KWILA, WA Zip 98188
FOR BUILDING PERMIT ONLY
AUBURN, WA
Approved for Issuance By:
Date:
Sq. Ft.
Office
Warehouse
Retail
Other
Occ.
Load
1st F1:�
2nd F1.
3rd F1.
otal
Fire Protection: (] Sprinklers Ei Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd Fl. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 1,000
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #67n4 $ 15.00
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
$ 15.00
FOR SIGN PERMIT ONLY
0 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 WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 1S COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS- YPE OF WOR WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR !L Tf1 FiSpY1Sl01)S, OF �/1NV J�HER STATE OR LOCAL LAW REGULATING CONSTRJIC� �OR THE /� QR fNCE OF CONSTRUCTION.
F/ ,%� Date
Signed — �la ;I/ c j
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect.
Date
Contractor (signature)
( ) I. as owner of the property, or my employees,
offered for sale.
( ) I, as owner of tj(e erty,' ><clostvel rng wi (licensed contractor's to construct the roje
Owner (signature) C/' << Date ✓–
OWNER - BUILDER DECLARATION
with wages es their sole compensation, will do the work, and the structure Is not intended or
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - /849 BUILDING PERMIT
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
HVAC
C.ckco Slut/6
PERMIT 0 OCR 77 �til
Control 0 88-098-M
'1
N/A
DAN & TERESA EGBERT
29043 - 59TH PL. S.
(SELF) D. DELGATO
5612 S. 133RD
u to enant
Assessors Account N
AUBURN, WA
FUR BUILDING PERMIT ONLY
Approved for Issuance By:
'''' 1
1
Phone 0 839672
Zip 98061
Phone 0 246 -0766
TJUKWILA, WA Zip 98188
•
Sq. Ft.
sTtFT.
Office
war°enou :e
Retail
Other
Occ.
Load
2nd Fl.
'3rd —FT.
Total
_
Fire Protection: ❑ Sprinklers [] Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 1,000
Bldg. Permit Fee Receipt #17na
Plan Check Fee Receipt 0
Demolition Receipt 0
Surcharges Receipt 0
Other Receipt 0
Other Receipt 0
TOTAL
is no
E
S
S
AMMAN SII=U1C11111=201.19B
$ 15.00
FUR SIGN PERMIT ONLY
❑ Permanent ❑ Temporary
❑ Single Face ❑ Double Face [] Wall Mounted
Building face Setbacks: Front
❑ Free Standing ❑ Other
Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCE° WITHIN 180 DAYS, OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 COMMENCED.
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
GOVERNING THIS TT,,VPE OF WOR WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A FERMI
VIOLATE OR rCA /(,1 /GE,L T P�V1S101 OFD NY A /p/HER STATE ON LOCAL LAW REGULATING CONSTR ON
Signed --�4 L%/ 1/6: /.% '/I v' .' ''�G ;L.' d ) Date
IF CONSTRUCTION OR YORK 15 SUSPENDED OR
ALL PROVISIONS OF LAWS ANU ORDINANCES
1 DOES NOT PRESUME TO GIVE AUTHORITY TO
0 " THE PERFQRMANCE OF CONSTRUCTION.
LICENSED CONTRACTORS DECLARATION
I hereby affirm that 1 em licensed under provisions of the Business and Professions Code. and my license is in full force and effect.
Contractor (signature) 0ate
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.
( ) I. as owner of tem4,0erty.'ayd■ctusively 04: ac /king wife) licensed contractor's to Construct the,Droj, 1I ,
Owner (signature) r f‘' ;./ i �' / '','C; _.'. Date_ <',
itiV$°3'09D9fi:UttaaJiw[Wcsa:useax wev..n
'CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard.
Tukwila, Washington 98188
(206) 433 -1849
.vMM'fikriiN+J.»nai»
Type of Inspection L(Jo-t34
�J J 3 vej +
79
4cpscd AA 4.0.
Site Address
Requestor
Special Instructions
5�rz
«..-+.. w.. uu.. ................... ........ „...,�.......- ....�.... v, .. ». »....«..... «+n.,.n uo-r,.. x�x ..u.yncx..etto,4.mnAWIRRKAfta stliEhtar ::
INSPECTI N RECORD
PERMIT # 009-7-1
Date
Date Wanted
Project
Phone #
S�1
DQw ,761A.1/-
-7/4--076
/(
p.m.
Inspection Rers�''i".s o s:
CITY Of TUKWILA
Building Division
_, 6200 southcenter Boulevard MECHANICAL PERMIT APPLICATION
4w, t Tukwila, Washinatnn 041611
(206)- 433 -1849
~ CONTROL# g -G i -A\
Site Address .5 47 2 50, / 3 3 ' Suite# Floor#
Project Name /Tenant D/71717 y De C- y/61e/j9 7.vbY)' C PAINE 767- 2'3 o
Valuation of work //000 Assessors Account #
Property Owner ,D / Al d- -7-E"119i , ' 6<- IT Phone s, a `i _ /r, 7 z
Address 2-Qa43 5 9 .1° e- - $0 /QUborxi i.e...)ii Zip % -Qo/
Applicant 7-F'AJ, 611- Phone
Address Zip .. f -C)7C 6
Architect /Engineer Phone M9rX % 7 7,5 G
Address Zip
Contractor .sc/F License# Phone
Address Zip
Describe work to be done
Indicate the type of equipment to be installed, rating /size of equipment, and number of each:
TYPE RATING /SIZE NUMBER
ial ) /I )7 4 , C C.30 i/t? - ,.
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
CORRECT AND THAT I HAVE THE PROPERTY OWNE 'S AUT1ORIZATIO
Applicant /Authorized Agent (signature) I' l
APPLICATION
AO
AND KNOW THE SAME TO BE TRUE AND
T9.,DO THIS WORK.
Oate / 712 trr
(print name) I)Y%j-j G• Oelp4t14.)
Contact Person (please print) TFeeSYa "7466-Y ) Phone 2(3 G/- '67z-
OFFICE USE ONLY
FEES: Basic Permit Fee (000/322.100) $ /7 Receipt# 4770/ Date Paid )l-�-4i
Unit Fee (000/322.100) Receipt# Date Paid
Plan Check Fee (000/345.830) Receipt# Oate Paid_
Other ( / ) Receipt # - Date Paid
TOTAL /5 —ut. (OWES: S -8-- )
TRA K I N9
DE .
DATE IN
DA E OUT
COMMENTS
,
BLDG
Approved for Issuance
PLNG
Approved (Initials)