HomeMy WebLinkAboutPermit 0016 - Davis Residence - Additiondavid addition
71-016
14106 55th avenue south
TRACT
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OWNER MAIL ADDRESS ZIP PHONE
2 M ic.�t � r V i �� /II/ b ls! ....57. Sc'. Tu. kw i l c,.... Ch . 3 ..
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 HO Lt. r, C-1.
8 Class of work: • NEW ADDITION • ALTERATION ❑ REPAIR ❑ MOVE • REMOVE
9 Describe work: A cl 8\ f b A 1 U r r e ¶-, e ►\ ± s± r (-4.c ILL r" e....
10 Change of use from
Change of use to
11 Valuation of work: $ a �� C� • . r� C.
PLAN CHECK FEE
PERMIT FEE /(fir ..----•
SPECIAL CONDITIONS:
Type of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone f 3
Use
Zone � /
Fire Sprinklers
Required ❑Yes ❑No
APPLICATION BY:
a 7C ,,,.J,
'l C
PLANS CHECKED BY:
APPROVED FOR ISSUANCE BY
/
TT /r•
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE CC- 1
SEPARATE PERMITS ARE REQUIRED FOR'EL CTR'A , 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 Ig 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.
•
/ •
/,{'. ( I 1 / 4
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIGNATURE or OWNER IIr OWNER GUILDER)
FINAL
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
PLAN CHECK VALIDATION CK. M.O. CASH
CIi OF TUKWILA BUILDING F.2MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
N 0 :I.6
PERMIT VALIDATION CK. M.O. CASH
/ex-- 5//7/W `AI
floor plan
legal description