HomeMy WebLinkAboutPermit 0130 - Fox Residence - Move ShedJOB ADDRESS
15455 — 53rd Ave. South
DATE
LEGAL
1 DE3CR.
LOT NO.
01.8
Mrs W. . , less So . I@¢E r.L r '7 ,, Highway
390 Ft
')I CL/lJfrAC Er1 see Hi hwa y
Brookvale Garden Tracts
OWNER MAIL ADDRESS ZIP PHONE
z Charles Fox 15455 — 53rd Ave. So. Seattle 98188 Ch. 2 -0707
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
15455 — 53rd Ave. So.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
e RoBbins
USC OF BUILDING
7
8 Class of work: ❑ NEW • ADDITION • ALTERATION 0 REPAIR n MOVE • REMOVE
9 Describe work: Move small construction shack from present location on Southcenter Pkwy
to J ox property.
10 Change of use from Construction shack
Change of use to Paper drop shack
11 Valuation of work: $ 500.00
PLAN CHECK FEE
PERMIT FEE ,• Z.--- � ^
SPECIAL CONDITIONS:
Typo of
dlo of —
Occupancy
Group eT
Division 1
This is a temporary permit, and must be renew;
on or before September 1 1973.
Size of Bldg.
(Total) Sq. Ft. 44
No. of
Stories 1
Max. l
Occ. Load 4
Fire
Zone III
Use
Zone RMH
Fire Sprinklers
Required Oyes NO
APPLICATION
ACCEPTED BY
PLANS
CHECKED
BY
APPRC'VED
FOR ISSUAN
1 � • i
/ ►� c'�w
B .
o, of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered 2
NOT
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.
))l a /�
f/ i . (t ' ` (r -
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER (IF OWNER DUILDE )
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CII OF TUKWILA BUILDING Ft. WIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMI
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
°
BUILDING
PERMIT NO.
N 1.30
M.O. CASH
JCR ACJR ESS
DATE
3 - 1Z
LEGAL
1 DESCR.
LOT NO.
RLK
TRACT
1�SEC ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
CAteLes RA(
CONTRACTOR MAIL ADDRCSG PHONE LICENSE NO.
3 •
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO ,
•
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 •
�Mw11lw► MAIL ADDRESS BRANCH
UGC OF BUILDING
7
8 Class of work: ❑ NEW • ADDITION ❑ ALTERATION ❑ REPAIR MOrC VE • REMOVE
9 Describe work:
QV 4. CAA t, LA... =lair • • %■ _ la
tecirtt o v dJ C, C, f a -{+ CI At reb
10 Change of use from , 0. (04:4 � s
Change of use to y�,� - - 41/L.
11 Valuation of work: $ , r ! •
PLAN CHECK FEE
PERMIT FEE Swill"""
.....L....,��
SPECIAL CONDITIONS:
Typo of `,
Const.
Occupancy
Group
1 Division
r....- t .. A . ' .I LL" ,_ • e
At I y ' — �7�1 u' �_ . I I.
GIB -,�� f � ��,� -.� +
No. of
Stories
Max.
Occ. Load
Size of Bldg, &
(Total) Sq. Ft. O
Uso
Zone
Fire Sprinklers
F.::qufrod Oyes lo
Flro
zone
APPLICATION ACCEPTED BY.
PLANS CHECKED BY.
APPROVED FOR ISSUANCE BY.
No of
Dwelling Units
OFFSTREET PARKING
Covared
',PACES:
Uncovered 2,
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.
Special Approvals
Required
Not Ragaired
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
•
FOUNDATION
FRAMING
FINAL
IGNATUNL OF OWNER UP OY(NLN BUILDER)
•;IGNATUNC OR AU TIOPI: AGENT IRATE)
13U11.11111G FBA yZIT
Applicant to complete numbered spaces only.
CIT( DF TUKWILA BUILDING • IT
14475 - 50th Ave. So. / Tukwila, Washington 08667
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