HomeMy WebLinkAboutPermit 0104 - Nielson Residence - PatioJOB AODR E5S
14.470 - 58th Ave. South
DATE
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1 DESCR.
LOT NO.
/
BLK
/ /
TRACT
(
Hillman Seattle Garden Tr a�Cts SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
z Larry A. Nielsen 14470 — 58th Ave. So. Tukwila 98067 Ch. 4 -9388
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3
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 li ADDITION • ALTERATION • REPAIR • MOVE ❑ REMOVE
9 Describe work: Patio with cover
10 Change of use from
Change of use to
11 Valuation of work: $ 200.00
PLAN CHECK FEE
PERMIT FE . �.
SPECIAL CONDITIONS:
Typo of
Const. \ /D\
Occupancy
Group
Division
Size of Bldg. "`___YYY~~~ qq
(Total) Sq. Ft.
1-1/
No. of I
Stories
Max.
Occ. Load 10
_
Fire ��
Zone �X
Use
Zone --
Fire Sprinklers �,/
Required • Yes ' No
APPLICATION ACCEPTED BY:
- �`Q
`�
PLANS CHECKED BY
<'
41161.
APPROVED
FOR ISSUANCE BY
t�� — II
No. of
No. of 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 le 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
CONSTRUCTIO OR THE PERFORMANCE OF CONSTRUCTION.
7
CL 6 7?'e x19'(
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATU- E OF OWNER 11 OWNER BUILD R)
SIGNATURE OR AUTHORIZED AGENT (DATE)
BOOING PERMIT
Applicant to complete numbered spaces only.
CITE. JF TUKWILA BUILDING Pko■IT
14475 59th Ave. So. / Tukwila, Washington 98067
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
N 2 1.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
. r % 4e. 70 V V cz . 30.
�7 ,�y� p
4�
DAT
`"7 -.. I C ""' "
.. ,, ',D.
...:. F:.
�t:CE ATTAChe0 3iICE
nLK IitnCT Ef-^l.
? Ii_.1
. r mA1.. At1uRLS4 nt FnONE
,,'Ar/`y /t/,eise4/ /5 VP0 15-0 Ce.e. , 5d, Cir4
....':RAETJN MAIL AODRCO5 PHONC LICENSE NO.
n
J •
AN:•■;TE■T 04 DESIGNER MAIL ADDRESS P /ION LICENSE 110.
4
Eh O MAIL ADGRC55 PHONE: LICENSL• N0.
5
LE'lDER MAIL AGORL00 GNANCH
6
..�C OF By LLDING
7
it Class of work: 0 NEW '( ADDITION ALTERATION 0 REPAIR 0 MOVE • REMOVE
� 0
9 Describe work: 2=7 e ,- j/ c li e- / ^ -
10 Change of use from
Change of use to •
or _ ___
11 Valuation of work: $ c(,�
PLAN CHECK FEE
2 `'/
PERMIT FED
SPECIAL CONDITIONS:
Typo of
Coast.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
ZOne
Uso
Zone
Fire Sprinklers
Vi6gUlr.a Oyes ONo
APPLICATION ACCEPTED Y.
PLANS CHECKED BY:
APPROVED FOR ISSUANCE 8Y:
No of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered 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 DAPS AT ANY TIME AFTER WORK IS COM-
MENCED,
1 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 Wit_L. NE 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
CONST UCTION OR THE PERFORMA CE OF CONSTRUCTION.
�
CyG �•
Special Approvals
Required
Not Roauirc + �d , Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
1 .
•
FOUNDATION
. •
FRAMING
I
LIGNATUNC OF met, Ili GviNEN eU1LOEN1
FINAL
� �
)
i'G'IA`'J40 04 AU7NON1240 .iSE11T IDATF.1
l
t''^,') ;),V :ai t :O CO177ploto min z p iceS a
•gyp � ) �r� y /�r r � n ; DING
e
CITC...d1� TUKWILA F, ;Ui«i'...+'IG� y • `r:'7Yii S
14475 • 59th Ave. So. / Tukwila, •Washinjtun 98657
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. ( CAS-
OCCUPANCY PERMIT REQUIRED
F. W. DODGE DIVISION LOCAL CONSTRUCTION REPORT
McGRAW -HILL INFORMATION SYSTEMS COMPAlf for the bnth(• s i Ct 1
M a cine Anderson Oft'ica Gle'�k
This report was prepared by ; position
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 ❑ and return this form in the enclosed envelope.
IF THE NAME and /or ADDRESS ON THIS FORM IS WRONG,
PLEASE CORRECT BELOW.
DO. NOT. WRIT IN SHADED- AREA:,'
;:FOR,OF,FICE'USE:ONLY
LL PRIVATELY and PUBLICLY -OWNED CONSTRUCTION FOR WHICH PERMITS WERE,ISSIJED, OR WHERE NO PERMITS
UIRED, FOI� ALL PROJECTS THAT WERE STARTED DURING THE MONTH COVERED BY THIS REPORT.
ROJECT CLASSIFICATION
SES
SES
IATED WITH PRIVATE RESIDENCES
THER THAN BUILDINGS
N
E
W
Check
D L
D T
■
TO HOUSES & APARTMENTS XX
TO OTHER BUILDINGS XX
. O
Jack A. ]3enaroya Go.
Number of
Bld s. Per -
9 mits
XX
Number Of:
5
0
E
B
L
D
G
S
1
xx
XX
XX
1
House.
eepin c
Units
Cost of
Construction
as Shown
on Permits
1
Cost of
Construction
as Shown
r ots Permits
2351000e
Estimated Stiuc.
Actual
Constr. Cost 26.28 29.33 =:
Estimated
Actual
Construction
!' Cost
976
077
iii D U s"
69.71
REPORT A
WERE REQ
ONE FAMILY HOU
TWO FAMILY HOU
GARAGES — AFFI
STRUCTURES — 0
ADDITIONS AND
ALTERATIONS
PROJECTS UND
$100,000
PROJECT
CLASSIFICATION
(E.g.,Store,Church,
House, Apt., etc.)
Warehouse &
Retail Outs
(Finish
Interior)
it'itii.:i
CM OF UKW
1i47'5 51 H AVE B
TUK ILA1 I t tr §i 0067
P
IF MORE SPACE 15 NEEDED, USE REVERSE SIDE (ORIGINAL COPY) OF FORM, AND CHECK BOX mil■ ❑
FOR INFORMATION ON FILLING OUT THIS FORM, SEE REVERSE SIDE OF YOUR (PINK) COPY. FORM 2oasF 4710.005 (REV. 5.701
INSTRUCTIONS AND PROJECT CLASSIFICATION DESCRIPTIONS
GENERAL INSTRUCTIONS
RENEWAL PERMITS To avoid duplication, do not report renewal permits if the project was
included in a report fora 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.
Revised - May 1970
- PART-. I Summarize the data for the several project classifications shown below:
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.
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 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.
PART II 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.