HomeMy WebLinkAboutPermit 0052 - Hayes Carport71-052 16634 53rd avenue south
dwayne hayes
LEGAL
1 DESCR.
LOT NO.
TRACT
A /^/ 1 (09EE ATTACHED SHEET)
. 2) Ci Qc `/ / /7L -' 7 In
OWN ER / MAIL ADDRESS t / l ^ I ZIP n PHONE
2 41� 1.1'� 1(�LP � l l'L� 0� / (.. 67 c ( ,� /u Q • rt/til . Cl ( fl q •• ./ c1.3' (
CON TRAC TOR Q U MAIL ADDRESS PHONE LICENSE NO.
ek, 4 ..)U'7 • L.L"•-
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
C•f, h-0- (4-1-7L ' / (..4,A-6 1 -1.4 ,a�ti
8 Class of work: NEW ❑ ADDITION Eil ALTERATION ❑ REPAIR • MOVE • REMOVE
9 Describe work: / I
! A
.:..
10 Change of use from
Change of use to
11 Valuation of work: $ i l 5 0 0�
'7
PLAN CHECK FEE
e:,
PERMIT FEE � . -•`---
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
APPLICATION ACCEPTED BY:
� �/�
„/ C�J GGGLLLLLL
PLANS CHECKED BY
APPRO ED FO ANCE BY:
, r
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PL 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 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.
SCLILh'W T' • ` c i.a�
/r7 REOP
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIG ATURE OR OWNER III OWN BUILDER) //
W
SIGNATURE OR AUTHORIZED AGENT (GATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CITE • OF TUKWILA BUILDING P .MIT
14475. 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N 052
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I 0 • /e//Ji ?)7,q
OCCUPANCY PERMIT REQUIRED