HomeMy WebLinkAboutPermit 0165 - Scherler - Care Facility - ReroofJOB ADDRESS
5437 South 150th St.
DATE
Nov. 13, 1972
LEGAL 4LEGAL.
LOT NO.
5
ELK
3
TRACT
SEE ATTACHED SHEET)
1st Addition to Della Steila
OWNER MAIL ADDRESS ZIP PHONE
2 A. E. Scherler 5437 So. 150th Seattle Ch. 3 -0655
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 Self
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 Self
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE or BUILDING
Intermediate care facility - Vestibule
8 Class of work: • NEW • ADDITION A ALTERATION 0 REPAIR • MOVE • REMOVE
9 Describe work: Insulate new roof and new partition new exterior siding to match
new planned 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. }
Occupancy
Division
{
Size of Bldg. •
A^
(Total) Sq. Ft. IY \
Q
A . I
o
r
Max.
Occ. Load
-
Fire 6" _ J d
WO J 6
Zone Vv 1�6�0'
Fire Sprinklers
RegUlred Yes S
APPLICATION ACCEPTED BY
�.!
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY:
No. of //� si-`-s'1144 ,, NG SPACES:
e` + ��i'
Dwelling Units 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 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
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE or OWNER (IF OWNER (WILDER)
Q , i
SIGNATURE OR AU HORIZED AGEIIT I AT
BOILDIB G PERMIT
Applicant p ro complete numbered spaces only.
PLAN CHECK VALIDATION
CI� , OF TUKWILA BUILDING I-•L:RMIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
OCCUPANCY PERMIT REQUIRED
CK. M.O. CASH PERMIT VALIDATION K.
0o
BUILDING
PERMIT NO.
N °-
1 (i 5
M.O. CASH
. I' ADD e•:. ",
JW3 7 S /.re) -
I I, ATI.
I P3 /t/A, 7 L
... .,..
; .1'
D1. It
3
nIAC I
( AT TAC ED SHEET
� r e ,o40riv °• D0/ /
• ., MA■L ADUREDD TIP PHONE
' oiC' A Lt A .Seellrtt'r 3 oG•S"r
c"A
I . _ D M AIL ADDRESS P HONE LICENSE NO,
I AS ..'EC CA Di I.'.I.N MAIL ADDRESS PHONE LICENSE NO.
S e / �`'
— C44. -. r. 9 MAIL ADDRESS PHONE LICENSE NO.
5 g./ •
1 LEND CI, MAIL ADDRESS BRANCH
•
•
'3 Class of work: ikilrE ❑ ADDITION telfCTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
r
Describe v:ork: /I west' Jlir Alm- 1 / 0 4.0 OR 4/4.") 004441.7
1
L__1 w te4t rt* /opt. f /o /ova 7° iy,irx 040 ylre.w^ 4 cps
i 3U Change of use from
Change of use to
11 V2'.J21i0;t of work: b A S a D s1, �
PLAN CHECK FEE
PERMIT FE
`SPECIAL CONDITIONS:
Typo of
Const. _
Occupancy
o -
Division
Size of Bldg.
(Total) Sq. Ft. i'
No. of i Max.
° ► - . • Occ• Load
Fire
ZOne 41414411111
! Firo Sprinklers
1 Required ❑Yes ❑NO
4.ri' LICATION ACCEPTED BY
PLANS CHECKED BY
APPROVED FOR ISSUANCE BY
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covcrcu LJ c.3.Urud
Special Approvals
Required
No Rout ircd Approved
NOTICE
Si:.PARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
I:vG, HEATING, VENTILATING OR AIR CONDITIONING.
THi5 PERMIT SECOMES NULL AND VOID IF WORK OR CONSTRUC-
T:ON 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 HCJREIW CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPL;CATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
( ALL PnOV ISIONS, O r LAWS AND ORDINANCES GOVERNIN Tl•iS
TYPE OF WORK WILL E3E COM WITH WHETHER SPE
l ,-..REIN OR NOT, THE GRANT! OF A PERMIT DOES NOT
PI. - SOME T GIVE A THORITY VIOLATE OR CANCEL THE
PR rISIO F A Y O E TATE R LOCAL LAW REGULATING
CON RUC T ° RFOR NCE OF CONSTRUCTION.
1%.*
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
'i:LNATURE OWN I r OWNER BUILDER)
..A *:NC OH AUTHORIZED ACEIIT IDA Tel
r:rN- 2: rrr
Applicant to complete numbered spaces only.
N(.3
TUKWILA BU L
14475'. 59th Ave. So. / Tukwila, W,Ishinl(ton Li;U;i7
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR P RN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
M.O. CASH