HomeMy WebLinkAboutPermit 0094 - Vaca Residence - Move ResidenceJOB ADDR E55
14435 - 56th Ave. South
DATE
(�- •- \ IOC il7Z --
LEGAL
1 DESCR.
LOT HO.
13
BLK
1
TRACT
( SCE ATTACHED SHEET) •
Hillman's Seattle Garae- actd
OWNER MAIL ADDRESS ZIP PHONE
z Vincenzo Vacca 14$2$ Military Road Seattle 9$lb8 2 4$ -0477
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 Same .
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: • NEW O ADDITION • ALTERATION O REPAIR t MOVE • REMOVE
Describe work: Move residence into City, Pour foundation for residence
10 Change of use from
Change of use to Inspection Fee: $ 25.00
11 Valuation of work: $ 1 800.00
PLAN CHECK FEE
PERMIT FEE
SPECIAL CONDITIONS:
Type of ,,.„
Const. — N
Group I
Division
Size of Bldg. ,.,
(Total) Sq. Ft. 125
of
Stories 1
Max.
Occ. Load 5
Fire
Zone III
Use R-1.72
Zone
Fire Sprinklers
Required ves �NO
APPLI ATION ACCEPTS By,
c--,..,
PLANS C KED BY
APPR VED FOR ISSUA CE
I
4
No. Dw of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED
ING, HEATING, VENTILATING OR
THIS PERMIT BECOMES NULL AND
TION AUTHORIZED IS NOT COMMENCED
CONSTRUCTION OR WORK 1S SUSPENDED
PERIOD OF 120 DAYS AT ANY
MENCED.
I HEREBY CERTIFY THAT I HAVE
APPLICATION AND KNOW THE SAME
ALL PROVISIONS OF LAWS AND
TYPE OF WORK WILL BE COMPLIED
HEREIN OR NOT, THE GRANTING
PRESUME TO GIVE AUTHORITY
PROVISIONS OF ANY OTHER STATE
CONSTR CTI9N OR THE PERFORM
k 1 -- (ilia-1/ .
FOR ELECTRICAL, PLUMB-
AIR CONDITIONING,
VOID IF WORK OR CONSTRUC•
WITHIN 60 DAYS, OR IF
OR ABANDONED FOR A
TIME AFTER WORK I$ COM•
READ AND EXAMINED THIS
TO BE TRUE AND CORRECT.
ORDINANCES GOVERNING THIS
WITH WHETHER SPECIFIED
OF A PERMIT DOES NOT
TO VIOLATE OR CANCEL THE
OR LOCAL LAW REGULATING
NCE OF CONSTRUCTION.
- - -'
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
5/17/72
G.L.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGN TOE OP OWNER lIP OWNS BUILD 1
5 GNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT ( DF TUKWILA BUILDING Plf '.MIT
14475. 59th Ave. So. / Tukwila, Washington 98067
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
N° 094
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
JOB ADDP Ras
8 - 6, 114- -AVE_ S',
DATE
( (p WTI i/ 1 9 7 z--
LCOAL
1 D[ E
LOT NO,
/�
ILK
I
TRACT
([]lcE ATTACHED SHEET)
H l 12 ..S tom C). c - t Vrlea
OWNER ‘ Vi�L-E4.E4 �/A�� MAIL
2 ,c ep�,t n t
ODIRRel ZIP PHONE
Z� i' u L a , q g l ( Z.44 (477
CO RAC TOR MAIL ADDRESS PHONE LICENSE NO,
3 ' Slk1A't
ARCHITECT ON DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENOE■ MAIL ADDRESS BRANCH
6
USE or BUILDING
7
8 Class of work: ❑ NEW • ADDITION • ALTERATION 0 REPAIR 12 MOVE • REMOVE
9 Describe work: VtiIOVs_ s I DsGE I J C.lt') PW - F60+J fl(A -Q 1,5 'Ro . , (Qat . ..
1 0 Change of use from
Change of use to /h�ibt' PEE : ' ' �'
11 Valuation of work: $ % o 1 PLANCHECKFEE
PERMIT FEE ` n O U
SPECIAL CONDITIONS:
Typo of 'i'l '
Const. ,. - -
Occupancy r
Group
Division
I
Size of Bldg. 1 ,-,2. , .7
(Total) Sq. Ft. 0 1 .-- -
No. of
'Stories !
Max.
Occ. Load �,)
Fire - 7 7 7 —
Zone _.___.2--- ` (
Use -- nYry
Zone 1'`
I
F lre Sprinklers
Required U VU No
APPLIC �l) ATION
\ /
ACCEPTEDIBY:
.
NA-I � - 1 ;-+—
PLANS CHECKED BY:
APPROVED FOR ISSUANCE BY:
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACESI
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 IS 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
CONSTRUCT N OR THE PERFOR • CE OF CON TRUCTION.
t
/A a t, .. -al •
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
r -/7-77
'/
�/ , +-•
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIG AT OF OWNER II OW ' R lUlLT
FINAL
SIGNATURE ON AUTHORIZED AGENT (DATE)
BUILDING PERMIT
APPLICATION
Applicant complete numbered spaces only.
CITY lF TUKWILA BUILDING PrC MIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
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
• House Moving .Foundations Herry 41028 or Merry 84307
Battefaotton Guaranteed - ; Free Eettmates •
Rd. OH. 8.2107
Res+ OH. 8 . 7 8 51 ',:x"
HOLD HARMLESS AGREEMEN
For the consideration of the City of
Tukwila issueing a permit to move a building upon
the streets of Tukwila. We hereby agree to hold
the City of 'Tukwila harmless for any and all actions
of our. Company while operating in the City of
Tukwila, and will. defend any and all claims or
actions against the City'of Tukwila arising from
the issue: of said permit.
• .i. l
OH; 4. 111 a
,Janes Robbins
'8.,V. Robbins
tat PC: .+'AttiVl' �"•i•�I ^;)t'.. .,i1✓ i')!S�;I +.L
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jlgent GLENDALE -H I L 1 NE AGENCY l i
Agent NEW Replace COMPREHENSIVE LIABILITY •
DECLARATIONS Polley Number CLP 119 9'5 9 POLICY
1, , S I MI ON V. ROBS I NS i ! n • ' NAME OF INSURED
1011 SOUTH 128TH
SEATTLE, WASHINGTON 98168
•
. From 9-22-69 ' to 9 -22'72 at 12101 A.M. POLICY PERIOD
(Monlh•DeyYear) (Month•OayYear)
standard time at the address of the named insured as stated herein.
4. The insurance afforded Is only with respect to such and so many of the following coverages as are indicated by Insertion of the limit of the Company's liability op
the coverage. The limit of the Company's liability for each such coverage shall be as stated herein, subject to the terms of this policy having reference !hereto.
COVERAGES LIMITS OF LIABILITY '
MULTIPLE LIMIT PLAN:
'Bedll Injury
Liability
I Property Damage
Liability
SINGLE LIMIj PLAN:
Bodily, Injury Liability
and
Preperly Damage Liability
A. PersinN'Cemprehensive
vJ'
Multiple Limit
Plans
Persopgl /.Ia llity
Single Limit
Plan
Personal Medical Payments •
B. Medlar Payments C
• Automobile
C. Automobile Physical Damage
D Bodily injury caused by
a
Uninsured Automobiles
E. Dread Form Property Damage
F. Personal Injury
O. Flee Legal Liability • Commercial
O. The provisional deposit premium Is $ 1 13 e
i,la :r:.l
11.'aaaaau iaaa.n
Automobile
Other then Automobile
Automobile
Other than Automobile
Automobile
Other than Automobile
D
Bodily Injury $
Property Damage $
Bodily Injury Property Damage . ry and i
$
Automobile S
Business $
$ 50,000.
$ 20,000.
i
5. ADDITIONAL INSURANCE: The following insurance is provided only for those coverages for which a Specific Amount, Limit of Liability or the word "Included" is ent
bet , .end then only in accordance with the provisions of the applicable coverage form attached to this policy:
COVERAGE FORM AND COVERAGES
•
•
• ADDRESS OF INSURED
Each Person
Each Person
Each Occurrence
Each Occurrence
Each Occurrence
Each Occurrence
$ i
100,000.
$ 100,000.
$ 25,000.
Limits of Liability
• Each Person =
Each Occurrence
Each Occurrence
Each Person $
Limits if Liability
Each Person • Private Passenger ❑
Type Owned
Each Occurrence
Each Occurrence
Aggregate Products-
Completed Operations
Aggregate
Aggregate
Each Occurrence
Each Accident
Pickup body, sedan delivery
{ panel truck types are excIud:
t 'x" appears in the box.
Each Person • Other than Private Passenger Type Owned
Each Person $ Each Accident
H. _._.
Only Items Marked ii I.
.. ❑ J.
Are "Included" ❑ K.
❑ L.
. If the policy period is for more than one ear, an additional provisional deposit premium Mail
' be charged for each succeeding annual period. The premium Is subject to ANNUAL. h 11,...
CounU►sign7( L I1\ E INSIIRANCII Af2MAIrr gyro
Authorind Aged
' THESE DECLARATIONS WITH FORM CLP4 345 CONSTITUTE THE ABOVE NUMBERED POLICY •
•
( 1':11' Idi i'l 1'• 1 !'? l, INIIi) V) �i . t „J i l' 1 i "�� ow.), I;IY• 1 Ilfd. w.f.; t "..1( I as ,In7.d ht�lalaaVl 01 '.' n }, , a �r - I n- i •.��'.
'r r � ,•. � p 1 (I p ! + c/ i' ++ 1 ! INQ u''n Cy i1 «.MeeU
1 ,'•r,r :' , r;; i• i+ AI'.'1 « ' + Ci(i•):t:f•1.4 •,. .
, , r
r ;
w ti: �, s, mrYrs'.. y, ;. f .
; DO N
NOT A
OFFICE. U
USE 'ONLY .
AREA
., ,",:
CLASSIFICATION Bld s. Per a
ONE FAMILY HOUSES ■ XX 0
076 ,
,'" ,
,
■ t
ti
l ' i ' 71 7 TM.
i J> „r ,y.. • 'F ? 'u -1. 77 .^rr: <
F. W. DODGE DIVISION LOCAL CONSTRUCTION EPORT
McGRA•HILL INFORMATION SYSTEMS COMPANr for theilionth of
This report was prepared by M� X 1 n - At l d e r -c r% ; position elf Ice C l e t r k
Please RETURN the ORIGINAL and BLUE COPY before the FOURTH day of the month in the enclosed envelope. If there was no
building to report in your area this month, post an "X” in the following box ••41;❑ and return this form in the enclosed envelope.
IF THE NAME and/or ADDRESS ON THIS FORM IS WRONG,
i.: •' PLEASE CORRECT BELOW.
:;‘ L ;.. .
C I ; t F' 'T't1 ' LA
�IIt; laf. 'A x1 �..
REPORT ALL PRIVATELY and PUBLICLY- OWNE4CONSTRUCTION. FOR WHICH PERMITS WERE ISSUED, OR WHERE NO PERMITS
WERE`REWUIRED, FOR ALL PROJECTS THAT WERE STARTED D ''HE MONTH COVERED'BY'THIS'REPO tT:
IF MORE SPACE IS NEEDED, USE REVERSE SIDE (ORIGINAL COPY) OF FORM, AND CHECK BOX "'0 ❑
FOR INFORMATION ON FILLING OUT THIS FORM, SEE REVERSE SIDE OF YOUR (PINK) COPY. FORM 2005F 4710-005 (REV. 5 -70
INSTRUCTIONS'AND 'PROJECT CLASSIFICATION DESCRIPTIONS
GENERAL INSTRUCTIONS
ESTIMATED ACTUAL TOTAL CONSTRUCTION COST — If possible, show costs exclusive of
land, landscaping, piling and other special foundation costs. Also exclude all architectural and
engineering fees and the cost of movable furnishings and equipment.
RENEWAL: PERMITS — To avoid duplication, do not report renewal permits if the project was
included in a report for a prior month or prior year
MAILING' -= Please return only the original and blue copy, using the enclosed, stamped,
self- addressed envelope. The pink copy is for your file. - Kindly remove all carbon paper prior to
mailing,' to avoid both smudging and overweight,
PART I. - Summarize the data for the several project classifications shown below:.
ONE- FAMILY HOUSES — including semi- detached and row or town,
PRIVATELY- OWNED" ONLY. Include modular houses, but do not include mobile.,
homes or trailer homes.
TWO- FAMILY HOUSES — including semi - detached and row, PRIVATELY -OWNED
ONLY.
;GARAGES — including carports, affiliated with private residences, when separately
built, attached or detached.
STRUCTURES (other than buildings) - such as tanks, derricks, fences, retaining
walls, outdoor swimming .pools, towers, piers, drive-in theaters, reviewing "stands,
signs, billboards, trailer. parks, parking "lots, etc
ADDITIONS, AND 'ALTERATIONS ' (under . $100,000 — private ownership)
.self- explanatory.
List separately each new privately - owned project not included in Part I, regardless. of
valuation. Also list separately any new, addition, or alteration project costing
$100,000 or more - privately - owned.
PART III ` List separately each publicly -owned project, new, addition, or alteration, regardless .
of valuation. Include publicly - owned one - family houses, schools, court houses, as
well as such structures as water works, sewers, streets, etc..: ,
BUILDING PERMITS
May l972., ... ,.
For:
Fee:
Valuation:
Permit No. 083
April 12, 1972
Permit No; 084
April 12, 1972
Permit No. 085
For:
Fee
Valuation :
May 5, 1972
Permit No. 091
Issued to:
For: 1.
Fee: \
i
Valuationi:
May 9, 1 972 .
Permit No. 092
Issued to:
For:
Fee:
Valuation:.
Amelco Electric'
103 Nelsen Avenue
Single Face Electric Sign
$ 7.50
$ . . 750.00
Hp*,
Mazda Motors
120: Andover. Park East"
Install 3 walls inside building
for Computer Room with ceiling
$ 32.00
s ` 6, 000.00
May 5, 1972
Permit No. 090
Issued to:
Levitz
17601 Southcenter Parkway:
Remodel Levitz Furniture Cafeteria
$ 59.00
$15,000.00
VOID
VOID
VOID
186
8013 Perimeter.
Finish interior of'one tenant
53.00
$13,000.00
BUILDING PERMITS (cont.)
May 16, 1972
Permit No. 093
Issued to:
Fee:
Valuation :.
May 24, 1972
Permit No 095
Issued to:
TOTAL FEES: 218 '
TOTAL VALUATIONa $ 47,950.00
3M Company.
100 Andover Park West
Remove partition, add partition,
add sprinkler heads and roof drain,
add lights, relocate heating and
venting defusers
$ 50.00
$ 12, 000.00
Jem Locke
. 14207 Interurban Ave. South .
For: Demolish Rocket Service Station
at 14221 Interurban Avenue South
Fee: $ 5.00
Valuation:, $ - 0
May.31, 1972
Permit No. 096
Issued to .. John A. Radnich
14218 -' 53rd Avenue South
For Addition to existing: garage
12.00
,Valuation: $ :' a 1, 200.00