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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)