HomeMy WebLinkAboutPermit 0406 - King County Blood BankJOB ADOR ES5
130 Andover Park East
DATE
3/1/74
LEGAL
1 DESCR.
LOT NO.
BLK
TRACT
( ®SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP 9Q•I0 PHONE
2 King County Central Blood Bank Terry & Madison Se Wa. 624 -4676
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
Owner
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
G
USE OF BUILDING
7
S Class of work: • NEW ❑ ADDITION Xl ALTERATION ❑ REPAIR • MOVE • REMOVE
9 Describe work: Removing walls and new rugs, change in corridor on third floor
10 Change of use from
Change of use to
11 Valuation of work: $ 6, 000.00
PLAN CHECK FEE 16.00
PERMIT FEE 32.00
SPECIAL CONDITIONS:
Typo of
Coast.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Firo
Zone
Use
Zone
Fire Sprinklers
Required • Yes •No
APPLICATION ACCEPTED BY:
PLANS CHECKED BY:
APP OR ISSU CE B
No. of
Dwelling Units
OFFSTREET PARKING
Covered j
SPACES:
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 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
CONS ON OR THE PERFO ANCE OF CONSTRUCTION.
/�
-1
-
Special Approvals
Required
Not Required
Approved
zoNING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGN or OWNER (IF OWNER BUILDER)
VV ��
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CITY OF TUKWILA BUILDING PERIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
PLAN CHECK VALIDATION
WHE
CK.
�
PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
M .O.
BUILDING
PERMIT NO.
4
CASH
JOB AOOR ESS
l 130 Andoverpark East Seattle Washington
it Y/
GATE
2 -25 -74
LEGAL
1 DESCR.
LOT NO.
SLR
TRACT
SCE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 King County Central Blood Bank Terry & Madison Sea 98104 624 467A .
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 A„.."1-t 7Z,
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6 •
USE OF BUILDING
Leasing .
8 Class of work: ❑ NEW • ADDITION (}1{. ALTERATION ❑ REPAIR • MOVE ❑ REMOVE
9 Describe work: walls and new ru r �tA.or cFrt iJ�s Crr2�2tD
.
10 Change of use from
Change of use to •
� Valuation of work: $
6,000.00 JPLANCHECKFEE
/
Type of
Const.
00
1 �-
Occupancy
Group
PERMIT FEE
Lou
`.------`
Division
SPECIAL CONDITIONS:
Size of Bldg.
(Total) Sq.'Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required ❑Yos ■ No
APPLICATION ACCEPTED BY:
PLANS CHECKED BY:
``•
APPR D ISSUANCE BY:
No. of
Dwelling Units
OFFS7REET PARKING
Covered
SPACE5s
Uncoverod
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 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 Oft LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
•
� ' v
Special Approvals
Required
Not Required
Approved
ZONING
•
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (specify)
.
FOUNDATION
FRAMING
FINAL.
SIGNATURE OWNER II O H B � ( EDEN .
t
GIGNA TORE OR AUTHORIZED AGENT IDATC) /
'APPLICATION
Applicant to complete numbered spaces only.
CITY OF TUKWI BUILDING PERA 1T
14475 - 59th Ave. So. / Tukwila, Washington 98067
4 & 5 Andover Park Industrial. Number 2
as per plat. Recorded in Volume 71 of plat
page 68. Recorded in King County, situated
in'Tukwilla County of King State of Washington
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F. W. DODGE DIVISION
MCGRA•HILL INFORMATION SYSTEMS COMPAIi'
This report was prepared by I2,>,3na 41.x.L:raan. ; position OEf ic f3l o1.16
Please RETURN the ORIGINAL and BLUE COPY before the FOURTH day of the month in the enclosed envelope. If there was no
building to report in your area this month, post an "X" in the following box . ❑ and return this form in the enclosed envelop
1 IF THE NAME and /or ADDRESS ON THIS FORM IS WRONG,
MR. BERT AP: ... R, i i ER. , 13'.133, . ti#. PLEASE,CORRECT BELOW.
MY CJ'
I
{ 14475 597H AVE. O.
rUERLLA, EA.. 98067
ONE FAMILY HOUSES
TWO FAMILY HOUSES
GARAGES — AFFILIATED WITH PRIVATE RESIDENCES
STRUCTURES — OTHER THAN BUILDINGS
ADDITIONS AND
ALTERATIONS
PROJECTS UNDER
$100,000
��.
PROJECT
CLASSIFICATION
(E.g.,Store,Church,
House, Apt., etc.)
Offi.CG/
i amhouno
PROJECT CLASSIFICATION
tr_sr -4
TO HOUSES & APARTMENTS
TO OTHER BUILDINGS XX
LOCAL CONSTRUCTIOVREPORT
• for the onth
•
•
REPORT 0,L1eRIYAT €LY and PUBLICLY -OWNED CONSTRUCTION FOR WHICH PERMITS WERE ISSUED, 9IW; eERy11T5,
WERE REQUIRED, FOR ALL PROJECTS THAT WERE STARTED DURING THE MONTH COVERED BY THIS REPORT.
Estimated Strue;
Actual
Constr. Cost 26-28 2943 i 37.43;x' 51.56
N
E
W
A
D
D
A
L'
T
i NAME
Woodtapa, Inc .
T
S
Number Of:
L
D eepil
G Units
Cost of Estimated
Construction Actual
as Shown Construction
on Permits Cost •
210,730.
DO. NOT;WRITEIN SH AR
- :FOR.OFFIICE'USE
IF MORE SPACE IS NEEDED, USE REVERSE SIDE (ORIGINAL COPY) OF FORM, AND CHECK BOX ❑
FOR INFORMATION ON FILLING OUT THIS FORM, SEE REVERSE SIDE OF YOUR (PINK) COPY. FORM 200SF 4710.005 (REV. 5•7
' INSTRUCTIONS AND PROJECT CLASSIFICATION DESCRIPTIONS
GENERAL INSTRUCTIONS
Revised - May : 1970
ESTIMATED ACTUAL TOTAL CONSTRUCTION COST — If possible, show costs•exelusive'of
land, landscaping, piling and other special foundation costs. Also exclude all architectural and
engineering fees and the cost of movable furnishings and equipment.
RENEWAL PERMI,TS — To avoid duplication, do not report renewal permits if the project was
included in.a report for prior month or prior year
MAILING — Please return only the original and blue copy, ,using the enclosed, stamped,
self- addressed envelope. The pink copy is for your file. — Kindly remove all carbon paper prior to
mailing, to avoid both smudging and overweight.
PART I - ,Summarize the data for the several project classifications shown below:
ONE- FAMILY HOUSES — including semi - detached and row or town,
PRIVATELY -OWNED ONLY. Include modular houses, but do not include mobile
homes or trailer homes.
TWO- FAMILY HOUSES — including semi - detached and row, PRIVATELY -OWNED
,ONLY.
GARAGES — including carports, affiliated with private. residences, when •separately
built, attached or detached.
STRUCTURES (other than buildings) - such as tanks, derricks, .fences, retaining
walls, outdoor swimining pools, towers, piers, drive -in ;theaters,'.reviewing stands,
signs, billboards, trailer parks, parking lots, etc
ADDITIONS AND ALTERATIONS (under $100,000 - private ownership)'. -
:self - explanatory. •
PART II — List„ separately each new privately -owned project not included in Part I, regardless of
valuation. Also list separately, any new, addition, or alteration project costing • -
$100,000 or more, — privately- owned.
PART III — List separately each publicly -owned project, new, addition, or alteration, regardless
of valuation. Include publicly - owned- one- family houses, schools, court .houses, as .+...
well as such structures as water works, sewers, streets, etc.