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HomeMy WebLinkAboutPermit MI02-191 - DOWNTOWN HARLEY DAVIDSONMI02 -191 DOWNTOWN HARLEY DAVIDSON 13001 48th Ave. So. City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0003000046 Address: Suite No: 13001 48 AV 5 TUKW MISCELLANEOUS PERMIT Permit Number: M102 -191 Issue Date: 12/04/2002 Permit Expires On: 06/02/2003 Tenants Name: DOWNTOWN HARLEY DAVIDSON Address: 13001 48 AV S, TUKWILA, WA Owners Name: TOM RUSSELL L Address: 2506 TACOMA PT DR, MAPLE VALLEY WA 98038 Contact Persons Name: JACOBSEN, BRETT Address: 2711 WEST VALLEY HY N, #200, AUBURN, WA Contractor: Name: F N W INC Address: 2711 W VALLEY HWY N STE 200, AUBURN WA Contractor License No: FNWIN * *984BZ Phone: Phone: 253 333.6789 Phone: Expiration Date: 01/09/2004 DESCRIPTION OF WORK: COMPLETING WORK FROM PERMIT MI2000.049 : INSTALLATION ABOVE GROUND TANK, CONCRETE SCREENING AND ROOF Value of Construction: Type of Fire Protection: Type of Construction: $ 7,500.00 Fees Collected: $120.17 Uniform Building Code Edition: 1997 Occupancy per UBC: 23 Public Works Activities: Curb Cut/Access/Sldewalk/CSS: N Fire Loop Hydrant: N Flood Control Zone: N Hauling: N Land Altering: N Landscape irrigation: N Moving Oversize Load: N Sanitary Side Sewer: N Sewer Main Extension: N Storm Drainage: N Street Use: N Water Main Extension: N Water Meter: Channelization / Striping: Number: 0 Size (Inches): 0 Start Time: End Time: Volumes: Cut 0 c.y. Fill 0 c.y. Start Time: Private: Private: *7' Continued Next Page * * End Time: Public: Public: doc: Miscperm MI02.191 Printed: 12.04.2002 City of Tukwila Department of Community Development / 6300 Southcenter EL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances govern g this work will be complied with, whether specified herein or not. The granting of • ermit •• n ►t presume to give authority to violate or cancel the provisions of any other state or local laws regulating constr,�;��,��, ►�,�" p ormance of work. I am authorized to sign and obtain this mechanical permit. Signature: Print Name: Date: This permit shall become null and void if the work is not commenced within 180 days from the date of Issuance, or if the work Is suspended or abandoned for a period of 180 days from the last inspection. ciao: MIscperm M102-191 Printed: 12.04 -2002 i z• t ,,leYn:1kn't 1,10 jn ,.i.u,%i4 �r:rr.,yix� %kl':.•Y••v.'q y'K sk:� CITY OF T'KWI LA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 FOR STA F USE ONLY Project Number: Permit Number. /11,7.7-();)--79V Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. Project Name/Tenant: j"-s n, -t-o w kJ 1.A-A`/L Description of work to be done (please be specific): S e v r.. A 4 td #- P% 74, lei Gr.0i..' d.4 -p 5c.to -4 4A,,,A,6 1 o"Y r 04-v t ° SO Val a of Construction: "r "1. , • Co Site Address : 17 c c, j 4 o TLi. 4-1(6.--. ' r City State/Zip: ro V.-vv l L A? q81( Tax Parcel Number: (.0o0 pc:) - o o 4 - D 3 Propey Owner: Address: Phone: (Ob ) Z,+� -6 ,© Street Address: 1 "3 0 0 1 +bT N- 4,„1/6 • City State/Zip: 7J (t—t4- . IN( TILtS Fax 41: ( ) ractor e-NI Cont:, ._ •L. 0 Standby Phone: (Z ) 3*-72 , .,-7 S Street Address: 21 i' 1 ��s r VA- J.-y ity State/Zip: N 4.zoo ,, w� Fax #: 2�` 3�. `1 -7 07 Architect: • .. I Phone: ( ) Street Address: City State/Zip: Fax #: ( ) Engineert Phone: ( ) Street Address: City State/Zip: Fax 11: ( ) Cont t Person: r.J Phone: (.4,) *-3. ,,,,-7 61 Streyett Address: r //� y City Sta Zip l Fax #: ( ,�) 3, ,,a . _77 67 MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO RE FILLED OUT BY APPLICANT) Description of work to be done (please be specific): S e v r.. A 4 td #- P% 74, lei Gr.0i..' d.4 -p 5c.to -4 4A,,,A,6 1 o"Y r VIIIIIIIIi Will there be storage of flammable/combustible hazardous material in the building? ❑ yes ❑ no Attach list of materials and sfora:0 location on #e ante 8 1/2 X 11 in or Indicant, s Unntitle# & Material Sate( Data Sheets ■ Above Ground Tanks ■ Antennas/Satellite Dishes U Bulkhead/Docks 1 Commercial Reroo( ❑ Demolition ❑ Fence ❑ Manufactured Housln •Replacement only ❑ Parkin; Lots ❑ Retainin; Walls ❑ Tern )era Facilities LI Tree Cultln APPLICANT RE UEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS Channel lzetton /Striping ❑ Flood Control Zone ❑ Landscape irrigation ❑ Storm Drainage ❑ Water Meter /Exempt 1 ❑ Water Meter /Permanent 1 ❑ Water Mater Temp ti ❑ Miscellaneous ■ Curb cut/Access/Sidewalk ! Fire Loop/Hydrant (main to vault)if: Size(s): ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards (.5—II sq. ft.gratlIng/ciearing ❑ Sanitary Side Sewer 1: m ❑ Sewer Main Extension —5 Private 0 Public ❑ Street Use ❑ Water Main Extension 0 Private 0 Public Size(s): 0 Deduct 0 Water Only Slro(i): Size(s): Est. quantity: gal tJ Movin8 Oversized Load/Hauling Schedule: ARO MONTHLY SERVICE BILLINGS TO: Name: Phone: Address: City / State/Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BILLING: Name: Address: Phone: City /Sta e/Zip: Value of Construction • In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review • Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The building official may extend the time for action by the applicant for a pe.iod not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. 9/9/99 ndscpnu.doc Date application expires: o• /U3 Application taken y (initials) ALL MISCELLANEOUS NE' IT APPLICATIONS MUST BE SUIMITT ' WITH THE FOLLOWING: > ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN • BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED • ARCHITECTURAL DRAWINGS REQUIRE STAMP 13Y WASHINGTON LICENSED ARCHITECT > STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER • CIVIUSITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) ❑ Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit k issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this *permit application and obtain the permit will be required as part of this submittal. I HEREBY CERTIFY THAT / HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OFfiyURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O. Signature: StJt3MI1 APPI I( ATION AND REQUIRED ( HE( KI ISIS FO! Above Ground Tanks /Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 PERMIT REVIEW Submit checklist No: M -9 ❑ Antennas /Satellite Dishes Submit checklist No: M -1 ❑ Bulkhead /Dock Submit checklist No: M -10 ❑ Commercial Reroof Submit checklist No: M -6 ❑ Demolition Submit checklist No: M -3 ❑ Fences - Over 6 feet in Height Submit checklist No: M -9 ❑ Land Altering/Grading/Preloads Submit checklist No: M -2 ❑ Miscellaneous Public Works Permits Submit checklist No: H -9 ❑ Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M -5 ❑ Moving Oversized Load /Hauling ., „, Submit checklist No M -5 0 Parking Lots ''' Submit checklist No: M -4 ❑ Retaining Walls - Over 4 feet in height Submit checklist No: M -1 ❑ Temporary Facilities Submit checklist No: M -7 ❑ Tree Cutting Submit checklist No: M -2 ❑ Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit k issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this *permit application and obtain the permit will be required as part of this submittal. I HEREBY CERTIFY THAT / HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OFfiyURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O. Signature: Taltri ii• RIZED AGENT: pi all Date: it �7. Print name: M Fax Fax 11: ( Phone: ( r.� • Addres ' V City /State/Zip: 4 9/9/99 miscpnu,doc r ,,. gE tjg 1E Og City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No,: 0003000046 Address: Suite No: Applicant: DOWNTOWN HARLEY DAVIDSON 13001 48 AV S TUKW Receipt No.: 8020001679 Initials: SKS User ID: 1165 Payee: RECEIPT Permit Number: Status: Applied Date: Issue Date: MI02 -191 PENDING 12/04/2002 Payment Amount: 120.17 Payment Date: 12/04/2002 12:11 PM Balance: $0.00 FNW TRANSACTION LIST: Amount Type Method Description Payment Check 12192 ACCOUNT ITEM LIST: Current Pmts 120.17 Description Account Code BUILDING - NONRES BUILDING INVESTIGATION STATE BUILDING SURCHARGE 000/322.100 000/322.800 000/386,904 68.67 97,00 4,50 Total: 120.17 3140 12/09 9710 TOTAL 200.57 dec: Receipt Printed: 12. 04.2002 NA, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Project: Type of Insp:ction: 4 NM date a cd: MIA nstructIons: MO Wanted: ,' equal or: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. O ENTS: toe 0 $47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Bivd., Suite 100. Call to schedule reinspection. nspector: Date: Receipt o,: Date: ets go F t City of Tukwila Steven M. Mullet, Mayor Fire Department Thomas 11 Keefe, Fire Chief TUKWILA FIRE DEPARTMENT FINAL APPROVAL FORM Project •Name %.• n►,v h'4Cwt.% 4' . Address III) 7 /,� ' 1✓ Permit No. 2111.(21:1/L_____ 111)0,-1 _• Retain. current inspection schedule ___ Needs shift inspection Suite # Approved without correction notice Approved with correction notice issued Authorized Signat re Sprinklers: Fire Alarm: Hood & Duct: Halon: Monitor: Pre-Fire: Permits: FINALAPP , FRM Rev. 2/19/98 Date T.F.A. Form F.P. 85 Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: 2064754404 • Fax: 206.575.4439 DEPARTMENT OP LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. ;; t .1 EXP. DATE i 01.' l' FN INPI98.4B2i 01/09/2004. pt T DA tvg 'E - '-!01/09/2002: P::N{ W I INC 2711 W VALLEY HWY N STE 2001 AUBURN WA•.98001 -1614: 1)$ IlRh Mtsi I)I I Iu) --- " REGISTERED AS PROVIDED BY LAW ASI CONST CONT GENERAL REG /ST. 0 EXP. DATE CCO1 FNWIN * *984BZ 01/09/2004 EFFECTIVE DATE 01/09/2002 FNW INC , 2711 W VALLEY HWY N STE 200 AUBURN WA 98001 -1614 SIguimUsre Issued by DEPARTMENT OP LABOR AND INDUSTRIES T'RIES it0M101100W11 Pietise RCI1H)ve And Sign 1(Iantil'ieuli0n Curd 13e1'orc Placing In Ili '