HomeMy WebLinkAboutPermit 0033 - Tukwila Baptist Church - Classrooms71-033 14742 macadam road south
tukwila baptist church
classrooms
TRACT / (❑SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 j L{ eGc! i Lf Blarp 77 5.T Ch/cr,t' f1 / L 7 y Z /r 64a5t » gr. So • 9 $/61; 0 4402 -/33 7
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
C44-Ss /c. c, in s
8 Class of work: 0 NEW ❑ ADDITION • ALTERATION • REPAIR rig MOVE • REMOVE
9 Describe work: Nlo„ uc /Iq 3 peer 6 L /=O2 L LA-Ss /ay e)/7 5
10 Change of use from
Change of use to
11 Valuation of work: $ f, / Q � .. , O - „ 1 PLAN CHECK FEE
[�
PERMIT FEE i 6 C"
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 • NO
APPLICATIQN ACCE TED BY:
PLANS CHECKED BY:
APPRD FOR ISSUANCE BY
.ar
J-t� % Oh
�/
( /st0
No of
(Dwelling Units
Spe Appr
OFFSTREET
Covered
Required
q
PARKING
Not Required
SPACES:
Uncovered
Approved
pproved
('` — �
NOTICE
/
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, P , ' B-
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.
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIGNATURE or OWNER (Ir OWNER BUILDER)
F . % r ` P' 4-4..4- w L. / / 5 7
• -Q. d..
FINAL
SIGNATURE OR AUTHO ED AGENT (DATE)
'2
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT. OF %TUKWILA BUILDING Pki
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� M.O. CASH
71/ ,
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
N° 033
legal description