HomeMy WebLinkAboutPermit 1879 - WA State Department of Social & Health Services (DSHS) - Remodel I
BUILDING PERMIT
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
PERMIT
NUMBER
DATE OF ISSUANCE EXPIRES
April 22, 1980 August 20, 1980
JOB ADDRESS
130 Andover Park East
LEGAL LOT NO. BLOCK TRACT
DESCR.
OWNER PHONE
140
M SEE ATTACHED SHEET
FOR INSPECTION, CALL 433 -1849
BUILDING O FICIA CITY OF TUKWILA
THIS PERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING
Wac bin°t�ept of Social R Health Seryic
c
ADDRESS
ZIP
Olympia
CONTRACTOR
PHONE
Howard Bowker Inc.
228 -3801
ADDRESS
ZIP
340 S.W. Thomas Avenue S.W.
98055
LICENSE NO.
SST NO.
HO- WA- RB266D8
C600 -120 -232
BUILDING USE
Office
CLASS OF WORK
ONEW ❑ADDITION 1:1 REMODEL El REPAIR (OTHER (Specify)
Tenant Improvement
BLDG. 1st FL, I 2nd
FL. I BASEMENT I GARAGE I DECK I MEZZANINE I OF STORES I
TOTAL S.F. I VALUATION
AREA
3rd floor
700 14,700.00
1 CERTIFY THAT THE
ABOVE INFORMATION IS TRUE AND CORRECT
FEE I BUILDING
I 72.00
THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE
DISTRIB. PLAN RVW
4/.00
MET, A T T I
A 'AUT ORIZED AGENT FOR THE PROJECT.
DEMOLITION
BOND
I
OTHER
OWNER AGEN SIG1VxFTURR
TOTAL 119.00
COMMENTS:
TYPE CONST.
I OCC. GROUP I OCC. LOAD I FIRE ZONE I
USE ZONE l AUTO SPRINKLERS REO Detect
VN
132 70 3
CM XX YES
DNO [3Yes (3No
THESE INSPECTIONS ARE REQUIRED
BY LAW
1. Driveway
2. OK to 3. Roof 4. OK to
5. Wall-
6. Structure
approach and
pour footing sheathing enclose
board
complete and/
slope
and /or and nailing framing
nailing
or OK to
foundation OK
OK
occupy
FOR INSPECTION, CALL 433 -1849
BUILDING O FICIA CITY OF TUKWILA
THIS PERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING
BUILDING PERMIT PERMIT
CITY OF TUKWILA NUMBER
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISSUANCE EXPIRES
JOB ADDRESS
LEGAL LOT NO.
DESCR.
OWNER
Apr11 22, 1
130 A.r i °ark Fast
BLOCK
TRACT
10I7►L4
Ctrl SEE ATTACHED SHEET
14achiriniv'tn of cnripl P. Waai tn►•vir�,c
6. Structure
ADDRESS
ZIP
y1riiti it
I
CONTRACTOR
PHONE
q1
}towa rlow ker Inc.
228- 1 0 01.
ADDRESS
ZIP
340 S. 1 T('lE)ffias A.venl.li?
LICENSE NO. SST NO,
1'IllwFalFi -!282 it�l)f1
C600-1204-19
BUILDING USE
CLASS OF WORK
❑NEW ❑ADDITION OREMODEL OREPAIR MOTHER (Specify) Tenant
I)Ilj'11"oveirft't
BLDG. 1st FL. I 2nd FL. I BASEMENT GARAGE I DECK I MEZZANINE I
OF STORES I TOTAL S,F,
I VALUATION
AREA 3rd floor
14.700.013
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT FEE
BUILDING
72. ('ti
THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE DISTRIB.
PLAN RVW.
€7.i.
MET, AND THAT I AM AN'AUT AGENT FOR THE PROJECT
DEMOLITION
BOND
I
OTHER
OWNER AGENT SIGNATURE
TOTAL
COMMENTS:
TYPE CONST. I OCC. GROUP I OCC. LOAD I FIRE ZONE USE ZONE
THESE INSPECTIONS ARE REQUIRED BY LAW
1
1. Driveway 2. OK to
approach and pour footing
slope and /or
foundation
AUTO SPRINKLERS REQ S1lla�e4
3etk-tiw
;"DYES ONO ',a� :s 1.. -IN(I
3. Roof 4. OK to 5, Wall-
sheathing enclose board
and nailing framing nailing
OK OK
FOR INSPECT.,ION CALL 433 -1849
BUILDING OFFICIAL, CITY OF TUKWILA
/lugilst 210, 1
THI.S..P.ERMIT.MUST I3E POSTED CONSPICUOUSLY,ON,:,.UILpINO
6. Structure
complete and/.`�
or OK to
occupy
q1
I
THI.S..P.ERMIT.MUST I3E POSTED CONSPICUOUSLY,ON,:,.UILpINO
r
x
4
t
r
t i
T'
Legal Description-
Lot No..
Track 4
5 of Andover Industrial
Park
#2 as
plat recorded in
volume 71
Of. plat 'page' 68.' Records
1 Of
1 of King County.
i
f. F r i'. ,.i 1L
BUILDING DEPARTMENT
Cl TY of TU KW I LA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
433 -1849
APPLICATION FOR PERMIT
C ,Z�
DATE
(PERMITNO.WHENVALIDATED (EXPIRES
JOB ADDRESS
13O
LEGAL LOT NO. BLOCK
TRACT Yes r„r/v�rn f 2—
DESCR.
SEE ATTACHED SHEET
OWNER ,Qlp), j'mc %aG T1CYCl� S
!3 -11--
PHONE
ADDRESS �JI•(��/T
ZIP
CONTRACTOR �p J� l�i� C--
PHONE 8— _3 go
ADDRESS 3 7V s. 1 1/ ���rabl �S ✓C
ZIP 53
LICENSE NO Q
S ST NO. G 60(2 2 3 2
BUILDING USE C 1 p_ C c C S,
TENANT
CLASS OF WORK
O NEW O ADDITION O REMODEL O REPAIR
y:
MOTHER (Specify)
BLDG. 1st FL. I 2nd FL. I BAeEMENT' I GARAGE I DECK
I MEZZANINE OF STORES I TOTAL S.F. VALUATION
AREA
I 13 X2.4
I
I
I
I
I 700 1 y, o0
NAME OF APPLICANT (PLEASE PRINT)ZW XQ ,p11�
ADDRESS 57iple
PHONE
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS
TRUE A ND THAT THE APPLICABLE CITY OF
TUKWILA REQUIREMENTS WILL BE MET.
YCNT
SIGNATURE OF
C ,Z�
DO NOT WRITE BELOW THIS LINE
TYPE CONST. I
OCC. GROUP
I OCC. LOAD FIRE ZONE
I USE ZONE
7/,/
!3 -11--
7 3
C
PLAN
R VW.
PLANS: I
SENT
I RETURNED
I APPROVED
FEE
FIRE DEPT. I
/I I
I Q�'L1/ I
DISTRIB.
PLAN NING/
SEPA
PUBLIC WKS.
AUTO SPRINKLERS REQ.ISr��{�� bdactoc-
XYES 0 NO A y 13 *W I
BUILDING I `j a,Uo
PLAN RVW. 4 0 C)
DEMOLITION
BOND I
OTHER I
I I I I TOTAL
RECEIPT NO. I
1 q. V n
COMMENTS: APPROVED FOR INSURANCE BY:
4-1-00 v
X2_0 -o jay 2. z
B1 I NG PERMIT APPLICATION
REVIEW FORM
PURPOSE: To serve as a transmittal letter and form that other city departments
can use to make comments on and state requirements on new building per-
mit applications.
The following applicant has applied for a building permit through the City of Tuk-
wila. Please review them for compliance with the laws and ordinances under your
jurisdiction and make needed comments on this form.
APPLICANT: H C3, c l
LOCATION:
DEPARTMENT SENT TO: �P DATE SENT:
Requirements necessary for compliance with laws and ordinances u our jurisdiction:
C" t ui
(Feel free.to attach extra sheets if necessary.)
COMMENTS:
0
Review and comments made by:
Title of reviewer: Date:
Date recei -red back by Building Official:
reference O.C.D. policy number B -1
KI l'cr
dshs remodel
x
site plan
floor plan