HomeMy WebLinkAboutPermit 0012 - Erickson Residence - WallThis 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.
012
Erickson Residence
5828 South 144th Street
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
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.
71-012
al erickson
5828 south 144th street
ag radford
LEGAL
1 DESCR,
LOT NO. LL s /- sr
BLK
TRACT t /
,� osEE ATTACHED SHEET)
f' lf'mGtn s � ec _• ` '��C', � C- tt- cle .n 7't'0.c- f'?r,
J
OWNER MAIL ADDRESS ZIP PHONE
s ti .s 0,>2 S? O. /z// d .ci- 5' / _3
2 A. L, L ric.kc>
CONTRACTOR I MAIL ADDRESS PHONE LICENSE NO.
3 A . 3 . RCLcJ -co . /S /4/" ,.7 3 0 / 6 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: &IEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
9 Describe work: ./....) a L. L.
10 Change of use from
Change of use to
11 Valuation of work: $ L/ cc
PLAN CHECK FEE
PERMIT FEE L6
SPECIAL CONDITIONS:
Type of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ, Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required Oyes ONO
APPLICATION ACCEPTED BY:
PLANS CHECKED BY:
APPROVED FOR ISSUANCE BY.
-'
r fea0
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
CON TRU_ �� 2,... ION OR TH ; PE ANCE OF CONSTRUCTION.
r
/
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
/% ILri;w7
FINAL
•'SFINATURE OF OWNER 11 OWNER BUILDER)
- w.3- 7/
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT( JF TUKWILA BUILDING PLAIT
14475 - 59th Ave. So. / Tukwila, Washington 98057
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
N? 012