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Home My WebLink AboutPermit 0463 - FHAThis 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. . � 7 F_1 1421056 th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page Code Exemption = 8rlef E plainatoty Desclriptim Statuteftle 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. 2,3 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. .105 ADDR ESS 14210- -56th Ave. South DATE 5/21/74 LEGAL 1 DESCR. LOT NO. 8 ELK 4 TRACT Hillman Seattle Garden t SN[ETI OWNER MAIL ADDRESS ZIP PHONE 2 F.H.A, CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Boulevard Excavating Inc. P.O. Box 6128 Seattle, Wa. 98188 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. Yeakel Realty 15605 - 1st Ave. So. Seattle, Wash. 98148 ENGINE MAIL ADDRE55 PHONE LICENSE NO. 5 LENDER MAIL ADDRESS BRANCH 6 C- 578 -74533 USE OF BUILDING 7 S Class of work: • NEW • ADDITION ■ ALTERATION • REPAIR • MOVE 51 REMOVE 9 Describe work: Demolition of residence 10 Change of use from Change of use to PLAN CHECK FEE PERMIT FEE 5.00 11 Valuation of work: $ 1,275.00 SPECIAL CONDITIONS: Type of Const. occupancy Group Division -ize of Bldg. (Total) Sq. Ft. No. of Stories Max. Occ. Load Fire Zone Use Zone Fire Sprinklers Required ■Yes ■ No APPLICATION ACCEPTED BY PLANS CHECKED BY OVED OR ISS NCE BY 1 No. of Dwelling Units OFFSTREET PARKING Covered 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Special Approvals Required Not Required Approved ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) FOUNDATION FRAMING SIGN T OF OWNER F NER BUILDER) ` FINAL \ ` ,ilik V Y ,,...�.■ . Z 1 SIGNATURE OR AUTHO \ZED AGENT ( (DATE) 'BUILDING PERMIT Applicant to complete numbered spaces only. CI OF TUKWILA BUILDING4, .RMIT 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 � M.O. CASH OCCUPANCY PERMIT REQUIRED BUILDING PERMIT NO. N° 463 Joe ADOR ESS \‘....\--2.._, \ n 0 .S- .e e- \ DATE d,. 21 N a`1 L. LEGAL 1 DEaCR. LOT NO. � eLK t 1 TRACT SEE ATTACHED SHEET) • 6l �� 'NX&Ntt1 Grp 7),... \ C G \ 1kc Y1 ` i r 0. C. 7 OWNER '• MAIL ADDRESS ZIP PHONE CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ` '` ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE HO. a - -N"aIN C 5 y5 ` ^ . ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 ' LENDER MAIL ADDRESS BRANCH 6 ' UDE or BUILDING • • • 8 Class of work: 0 NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR 0 MOVE REMOVE �' 9 Describe work: '`'�� ' -r' )e 1 \A es) r e� NC e 61 \c• rC • 10 Change of use from • • • ' Change of use to • • • 11 • Valuation of work: $ . \ ---1 5 PLAN CHECK FEE o PERMIT FEE SPECIAL CONDITIONS: Type of Const. Occupancy Group . Division. . Size of Bldg. (Total) Sq.'Ft. No. of StorI s Max. . Occ. Load Fire Zone Use Zone Fire Sprinklers Required Dy ❑No APPLICATION ACCEPTED SY: ' PLANS CHECKED BY: • APPAOVED FOR ISSUANCE OY: No, of Dwelling Units OFFSTREET PARKING Covered 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 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. Special Approvals Required Not Required Approved ' ZONING • HEALTH DEPT. FIRE DEPT. SOIL REPORT . OTHER (Specify) • • FOUNDATION • FRAMING FINAL .-- NATURE or o . r te +I WREN SOLDER) �4. + �� L►tor...Le r U 2 - . •- , SIGNATURE OH TH. IZ.ED A EIIIT I (DA CI APPL2CATION Applicant to complete numbered spaces only. CITY OF TUKWILA BUILDING PERMIT t 5 - 59th Ave. So. / Tukwila, Washington '57 ,ING AND URBAN DEVELOP!• c!IT I Instructions to Field Offices: For payment to contractor COMPTROLLER'S 1. Bureau Voucher No. (Arica/ling To Kr/lenses On Acquired 1`ruperties r 2. Bureau Schedule No, TO:3. Cnnlrnctor and Payee P Payee's. Account No. N Name Control R Rpt, Code L a, Street Address 7 7. Field Office (City airy) B B. Order No 9 9. Data 5. City 6 6. Stale Z Zip Code 1 10. Discount Terms I I I. Time for Delivery Subject to conditions printed on the rave so side hereof, you nre hereby rogues ed and authorized to pertorm the service; cm! ;redeliver the articles below (or on (attached) according to terms of your quotation. The information Indicated in items 7, 8, and 9 must u;. 'ear on a ll packages, papers, correspondence, etc., relating to this transaction. 12. Ordered By (" HUD" or lr•o1 :cr's Noire and Address) 1 13. Consignee (Address of property ur project office) 15605 1st AXES. S. 1 14. Signe 1 15, Title ,, ' BY r Signature , Dale 16, AUTHORIZED B %� / /L7 17 a 1 18. Articles and /or Services i c Unit PI i':0 22. 20, 2 21. A 561 - 091355 -221 1 56th S . , Seattle, Wn. $ p r $ $ $ G above spot :: I',.uiiicient•usu Purchase Order and Payment Authorizafion•Conlinvation Sheet, T TOTAL— INCLUDING - 1FHA F Date Completed T T I certify that I (or my representative) personally inspected this property and to the : :iignature 2:. CHIEF PROPERTY OFFICER'S (OR DESIGNEE'S) CERTIFICATIOi•l Date Completed P Payment Approved For ❑ ❑ Acceptance of Broker's Inspection . .iignaturu T Title r rata 25. AUTHORIZED CERTIFYING OFFICER'S CERTIFICATION Pursuant to authority vested In Isle, I certify :hut this S Signature f.utlror ized Certifying Officer's Stomp DO NOT USE SPACES BELOW THIS LINE ' Amount Suspended A $ ( Amount Verified Correct for Peym ►..I (Sc e' :1 Ruc /ter!) $ (Sdrmaltrre or Inftiuls) is Accounting Classification W WARNING: Section 1010, Title 18, U.S.C., "Department of Housing •snd Urban. Devel- opment and Federal I'iousing Administration Transactions, "provides: "Whoever, for the purpose of ... influencing in any way the iietion of such Department . , . makes, passer,, utters, or publishes any statement, knowing the same to be false ... shall be lined not more than Si3,000 or imprisoned not more than two years, or both." 1. To Office ul th:. Comptroller (DI` /TT:SIFIED PA' MEN (S aRANCH COPY) If payment to h r ,nude by Treasury check Or( to su urigtnal accounting report it peid by Broker 'rum runlet 171 funds.