HomeMy WebLinkAboutPermit 1729 - Larson ResidenceThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
1729
Larson Residence
14223 55th Avenue South
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
2, 3, 4
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
LEGAL
DESCR.
LOT NO.
13
BLOCK
#2
TRACT
Bergs AG addition ❑ SEE ATTACHED SHEET
OWNER
Duane & Virginia Larson
PHONE
243 -5615
ADDRESS
14229 55th Avenue South
ZIP
98168
CONTRACTOR
E.F. Dahl Construction
PHONE
243 -7971
ADDRESS
14444 56th Avenue South
ZIP
98168
LICENSE NO.
EF- DA- AC -257NH
SST NO.
TYPE CONST.
OCC. GROUP
OCC. LOAD
FIRE ZONE
USE ZONE
AUTO SPRINKLERS REQ.
VN
R3
NA
3
R1
DYES KM
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
/
'.1
BUILDING PERMIT
DATE OF ISSUANCE
JOB ADDRESS
BUILDING USE
CLASS OF WORK
BLDG.
AREA
I CER
THAT
MET,
OWNE
COMMENTS:
July 9, 1979
5th Avenue South
Residence
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
KXNEW ❑ ADDITION ❑REMODEL ❑REPAIR ❑OTHER (Specify)
EXPIRES
C
1st FL.
1048
2nd FL.
BASEMENT
1048
GARAGE
DECK
160
TIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT,
THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE
AND THAT I AM AN AUyk-IORIZED AGENT FOR THE PROJECT.
itt . rn t .. _ .) met
R /E SIGNATU
MEZZANINE
FEE
DISTRIB.
# OF STORES
TOTAL S.F.
2096
BUILDING
PLAN RVW.
DEMOLITION
BOND
OTHER
TOTAL
$ 267.00
THESE INSPECTIONS ARE REQUIRED BY LAW
PERMIT
NUMBER l a
November 16, 1979
FOR IN PEC IQN CALL 433 -1849
BUILDING OFFICI L, CITY OF TUKWILA
...
• . .m. .. -- - • =... •■• ••••• ..af -e•. r. •••• ar . aaa a Aa •aa IA1 ♦I 0.1k1 as a.. i a w an
VALUATION
$ 47,160.00
178.00
89.00
LEGAL
'DESCR.
LOT NO.
13
BLOCK
112
TRACT
Bemis AG iidditi oii ❑SEE ATTACHED SHEET
OWNER
Duane Virginia Larson
PHONE
243-5615
ADDRESS
14229 55th Avenue South
ZIP
98168
CONTRACTOR
E. F. Dahl Construction
PHONE
243.7971
ADDRESS
14444 56th Avenue South
ZIP
9816
LICENSE NO,
EF- DA-AC-257N 1I
SST NO.
TYPE CONST.
OCC, GROUP
OCC, LOAD
FIRE ZONE
USE ZONE
AUTO SPRINKLERS REQ.
\jt I
I ?.
t�l1
����
/�
� 61)
r(1
❑ YES [ .NO
1. Driveway
approach and
slope
2. OK to
pour footing
and /or
foundation
fot
n
3.
Roof
s heathing
and - nailing
OK
4.
OK to
enclose
Framing
����
/�
� 61)
5.
Wall-
board
nailing
OK
6. Structure
complete and/
or OK to
occupy
Q
/
a
R
BUILDING PERMIT
DATE OF ISSUANCE
JOB ADDRESS
BUILDING USE
CLASS OF WORK
BLDG.
AREA
I CER
THAT
MET,
OWNE
COMMENTS:
s3u') y '9. 1 979
4 65th Avenu o Sni.fth
Residence
I igEW ❑ADDITION 0 REMODEL ❑REPAIR ❑OTHER (Specify)
PERMIT
CITY OF TUKWILA NUMBER
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
EXPIRES
November ber 1i 1979
1st FL:
1.018
2nd FL:
R / AGENT SIGNATURE
BASEMENT'
1O4
•
GARAGE
DECK
160
TIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT,
THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE
AND THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT.
MEZZANINE
FEE
DISTRIB,
# OF STORES
TOTAL S.F._
2096
BUILDING
PLAN RVW,
DEMOLITION
BOND
OTHER
TOTAL
THESE INSPECTIONS ARE REQUIRED BY LAW
FOR INSPECTION CALL .433 -1849
BUILDING OFFICIAL, CITY OF TUKWILA
.... ..A ••■••■■ .. -.- .w. . 4* ■•••• 21/1 A Tr I1 /1/1 .. nn I A I IAI Ir I •I #4■I MI III I1 I w111%
VALUATION
h, 47,, 160,.(7(1
178 M0
39.00
2!7.'(10
DATE ` ,_ , 71
'PERMIT NO. WHEN VALIDATED !EXPIRES
OCC. GROUP
JOB ADDRESS 1 ZZ 3 5 5 \``' (l, s
LEGAL
DESCR.
LOT NO.
t--731— j
BLOCK
T CT
I Ck. , 1 5 )1 G A dd , ❑ SEE ATTACHED SHEET
I
OWNER Tut {4n /C,4 V • " 4 e4t�LSe,�1 .
/
PHONE iii _ / S
J
V {,�1 w
ADDRESS r ,. s� - ✓ S i2
N ,a S
ZIP
9 4, J
CONTRACTOR E DgLL )(t.SI
PHONE 7/'3_'751 •7
��TT
ADDRESS ) uLk�4. - o„„ Wvc S
O ZIPS / q/
!
LICENSE NO FT _DA —Nd ....,4-67? gq
S ST NO.
� -- �
BUILDING USE PAS `
TENANT
CLASS OF WORK
KNEW ❑ ADDITION ❑ REMODEL ❑ REPAIR ❑ OTHER (Specify)
BLDG.
AREA
1st FL.
2nd FL.
BASEMENT
GARAGE
DECK
MEZZANINE
# OF STORES
TO
VALUATION
/
,& /S
/ali
/60
SEPA
— .0.6
d ' %�
JJ Id
1 7,. 6
NAME OF APPLICANT (PLEASE PRINT) �� / fi' t - Diar A L
ADDRESS / LION iQ „ S • r7KKwt 1 h,
PHONE d _--x - '7 /
I CERTIFY THAT THE INFORMATION FURNISHED BY ME I�,,;UE AND CORRECT A THAT THE APPLICABLE CITY OF
TUKWILA REQUIREMENTS WILL BE MET. �_
SI ATURE OF APPLICANT
RECEIVED
CITY
OF TUKWILA
JUN 22 7919
BUILDING DEPT.
APPLICATION FOR PERMIT
Z
BUILDING DEPARTMENT
CITY of TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
433-1849
DO NOT WRITE BELOW THIS LINE
RECEIVED
CITY OF TUKWILA
2U 1 �'9
BUILDING DEPT.
TYPE CONST.
OCC. GROUP
OCC. LOAD
FIRE ZONE
USE ZONE
AUTO SPRINKLERS REQ.
R
/t/
IR •
❑ YES XNO
PLAN
RVW
PLANS:
SENT
RETURNED
APPROVED
FEE
DISTRIB.
BUILDING
rig, O 0
FIRE DEPT.
_ �.r
•
N4,
PLAN RVW.
7ff/ , o 4
DEMOLITION
PLANNING/
•
BOND
SEPA
— .0.6
OTHER
PUBLIC WKS.
TOTAL
Q6 i , {? 2
RECEIPT NO.
COMMENTS: .
APPROVED FOR INSUR 'J � BY X 06 7
e 11117 7
RECEIVED
CITY
OF TUKWILA
JUN 22 7919
BUILDING DEPT.
APPLICATION FOR PERMIT
Z
BUILDING DEPARTMENT
CITY of TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
433-1849
DO NOT WRITE BELOW THIS LINE
RECEIVED
CITY OF TUKWILA
2U 1 �'9
BUILDING DEPT.
'
, I;fV..,14 " % y ••!,
•
J
µ ,•, J4.2
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