HomeMy WebLinkAboutPermit 0031 - Siegel Residence - Family RoomThis 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.
031
Siegel Residence
5650 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.
71-031 5650 south 144th street
siegel addition
BLK
TRACT
1, IA "rho, 4/ 4 ( SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3
,f R ,S'T.4.4} - 8T /A '.2 C S ' ' �` /1�/ — . 7 73J .
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
.
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
8 Class of work: • NEW Lt' ODITION • ALTERATION 0 REPAIR • MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of I lse to
11 Valuation of work: $ pp, —
PLAN CHECK FEE
f
PERMIT FEE ol, LO
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 YeS U NO
APPLICA ION ACCEPTED BY
�--
� i
PLANS CHECKED BY
/ PP�WED
AFOR ISSUANCE BY:
/
� j rk all ref
NoDW,
' 011 ing Units
OFFSTREET PARKING
Covered
SPACES!
Uncovered
NOTICE `
SEPARATE PERMITS ARE REQUIRED FOR ELECTRI AL, J MB-
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 Required
Approved _a
ZONING
L-
HEALTH DEPT.
l/'
FIRE DEPT.
/ //
hi`G,
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIGNATURE or OWNER (IF OWNER BUILDER)
FINAL
SIGNATURE OR AUTHOR! AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CITE. JF TUKWILA BUILDING PL :MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT_,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ( (K.
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
Na 031
M.O. CASH
/, Q /,, 71C •
cross section
beam
plywood
roofing
anchor bolts
site plan
legal description
beams footing
beams