HomeMy WebLinkAboutPermit 0059 - Harris Residence - AdditionJOa ADDRESS
5610 South 141st
DATE
12/2/71
LEGAL
1 DESCR.
LOT 110.
SLR
TRACT
(CDSEC ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Robert A. Harris 5610 South 141st Tukwila 98067 Ch.3 -5151
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 Self
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 Self
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: • NEW 4 ADDITION • ALTERATION ❑ REPAIR ❑ MOVE • REMOVE
9 Describe work: Add family room to present dwelling
•
10 Change of use from
Change of use to
11 Valuation of work: $ ] , 000.
PLAN CHECK FEE
PERMIT FEE$ 10.00
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire Ca
Zone .,...
Use
ZOne `
Fire Sprinklers /
Required Oyes ILIIVO
APPLICATION ACCEPTED BY
M. Anderson
PLANS CHECKED BY
.
APPRO EO ISSUANCE BY
J
`/ /_.,.
,.
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE "-- ✓
SEPARATE PERMITS ARE REQUIRED FOR ELECTRI AL, PLUMB-
ING , HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I$ COM•
MENCED.
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
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 CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
✓ j r
V f , (�r�/"�('_.-4-.4.-71 .0/ `l /��2
Special Approvals
Required
Not Required
Approved
ZONING
K
HEALTH DEPT.
�j
FIRE DEPT.
✓
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER IIF OWNER BUILDER)
4/7i
SIGNATURE OR AUTHORIZED AGENT I ATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT( JF TUKWILA BUILDING PC _MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
PLAN CHECK VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
CK. M.O. CASH PERMIT VALIDATION cK.
OCCUPANCY PERMIT REQUIRED
n —
BUILDING
PERMIT NO.
N° 059
M.O. CASH
legal description
SURYEV�..
FoR
NEW STAKE
NUB
MON.
TACK
Ex, 6TAKE
Plp6
L�f
elevation
side elevation
site plan
floor plan
floor detail
foundation detail
plan view foundation
site plan
floor plan
plan view foundation
floor detail foundation detail
end elevation
side elevation