HomeMy WebLinkAboutPermit 0216 - Moore - Garage;1 r• •
BUILDING PERMIT
CITE► OF TUKWILA BUILDING P . :MIT
14475. 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING •
PERMIT NO.
N° 216
JOB ADDR ESS
5625 South 1!9th Tukwila, Wa.
DATE
4/25/73
LEGAL
1 D ES C R.
LOT NO.
% /
!c7
SLR
TRACT
1 ( SEE ATTACHED SHEET)
5 !Ayr m) 1 e- h.� �-}J c
OWNER MAIL ADDRESS ZIP PHONE
•
2 William A. Moore 5625 South 149th Tukwila, Wa. 98168 Ch. 4 -3469
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
Owner
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
Owner
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
0
USE OF BUILDING
Shop and Storage
S Class of work: ❑ NEW L] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE • REMOVE
9 Describe work: Add 288 s.. ft. to existin: storage building
10 Change of use from
Change of use to
11 Valuation of work: $ 500.00 ,
PLAN CHECK FEE
PERMIT FEE 5.00
SPECIAL CONDITIONS:
Type of
Const. V —N
Occupancy
Group J
Division ]-
Size of Bld. (Total) Sq.gFt. 4$0 Sttom.
1
Occ. Load 4
Fire
III Zone 111
Use
Zone R -1
Fire Sprinklers �T
Required • Yes Z]NO
APPLICATION ACCEPTED BY:
PLANS CHECKED BY
APPROVED FOR ISS • • N• 0
'%_k rat/
No. of
Dowelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
" NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK Ig COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/±.4 .,/
//f( "r`L- !C!'�'�, /,• /�C :5..E)%
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE Of OWNER or OWNER UILDER)
SIGNATURE OR AUTHORIZED AGENT (GATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMI
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK. In,
OCCUPANCY PERMIT REQUIRED ({ ✓ I t}j
CASH
. ILR$NG PERMIT
Li icOF TUKWILA BUILDING
14475 • 59th Ave. So. / Tukwila, Washington 9$067
Applicant to complete numbered spaces only.
Jon ADOR EBS /
DATE
1 =1,-.
LOT HIO,
! S
!f} /tJ
SLR
TRACT
la\ ri ' ._f. V)•c. All A
ACHCD SHEET)
OWNER MAIL ADDRESS ,� ZIP PHONE
oltdr1.. t.t,�.,4,�, o»r r' !j u:;. �^ ', /(F e ///-.'/4.9
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3
•3',tt43 Al A6ovo .
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
n
54ii) :.r. A > A 15' OY
ENGIIEFR MAIL ADDRESS PHONE LICENSE NO,
5
LFNDER MAIL ADDRESD BRANCH
(1 /1//4 /kb:
USE OF BUILDING �! 1
f
8 Class of work: • NEW iCI,ADDITION ❑ ALTERATION • REPAIR • MOVE ❑ REMOVE
9 Describe work: ^hn '.'" `,, ' ' '
r-
10 Change of usD from .! , t
Champ of use to
g fir. 7./1 A: i k �'= � .' :7' A-
11 Valuation of work: $
PLAN CHECK FEE
` 's "''.
PERMIT FEE -
5
SI'ECIAL CONDITIONS:
Typo of
Const. V —N
Size of Bldg.
(Total) Sq. Ft.
i
� I
...pan.,
Group
Nu. of
Stories 1
Division
Max,
Occ. Load
•
Fire ..
ZOne
Zone ~'
Fire Sprinklers
RegUired IIN VOS No
APPLICATION ACCEPTED BY
PLANS CHECKED DY:
APPROVED FOR ISSUANCE BY
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, 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
r / s•
,,V , f1_.,4 '•. /" .„•�
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE 6►'OWNLR OP OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OCCUPANCY PERMIT REQUIRED