HomeMy WebLinkAboutPermit 0468 - Paul K Haggard CompanyJOB AOORESS
14000 Interurban Ave. So.
DATE
5'/24/74
LEGAL
1 DESCR.
LOT NO.
19 & 20
BLK
9
TRACT
1 SEE A TACHED SHEET)
Hillmans Seattle,Garden rac
OWNER MAIL ADDRESS ZIP 98067 PHONE
2 Paul K. Haggard Co. 14000 Interurban Ave. So. Seattle Wa. 244 -13600
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 Owner
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE Or BUILDING
7
8 Class of work: Jl NEW ❑ ADDITION • ALTERATION ❑ REPAIR • MOVE • REMOVE
s Describe work: Install gasoline storage tank and dispencing pump.
10 Change of use from
Change of use to
11 Valuation of work: $ 1,571.00
PLAN CHECK FEE
PERMIT FEE 19.00
SPECIAL CONDITIONS:
Typo of
const.
Size of Bldg.
(Total) Sq. Ft.
Occupancy
Group
No. of
Stories
Division
Max.
Occ. Load
Subject to approval of Fire Dept.
Fire
Zone
Use
Zone
Fire Sprinklers
Required • Yes ❑NO
APPLICATION ACCEPTED BY
PLANS CHECKED BY:
•P' OVED OR ISS'CE BY
4 41
AAA
No, of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered 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
FINAL
SIGNAT RE OF OWNER (IF OWNER BUILDER)
G ATURE OR THORIZED AGENT (GATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT . .)F TUKWILA BUILDING
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 ( cK
OCCUPANCY PERMIT REQUIRED
M.0
.4
BUILDING
PERMIT NO.
N° 468
CASH
APPLICATION
. CITY OF TUKWILA BUILDING PERMIT
144C 59th Ave. So. / Tukwila, Washington 9[
Applicant to complete numbered spaces only.
,,00 ADDH ESS
OO D A P r ' A i . Se .
DATE
S a %' 7
LEGAL
10ESCR.
LOT NO.
I CI - Q0
OLE
1
TRACT
� M A ft, S EAfi7 SEE ATTACHED SHEET)
+11
�Alz r% — Al re c
r•
OWNER- • MAIL DRESS ZIP PHONE
j �/ //47 _/ %?�_ / YOmD 7 Wr RG(.Rb s Al n • �/y . �� dJG)
9 :ii (4) 1 . ?Ae (9, 4d: A7`i1 c-- I % A/..
3LUNTRACTDH MAIL ADDRESS PHONE r � LICENSE 110.
/ ��
65 V__ >V e- StA1 E 5Al • )'a 5751-x v1 //7T:'
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE HO.
4 •
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
r ,
LENDER MAIL ADDRESS BRANCH
•
6 • •
USE Or BUILDING
U Class of work: RAW ' D ADDITION • ALTERATION D REPAIR D MOVE • REMOVE
9 Describe work: ' , t fi'S ) / AC Sip 2.4- t,4 N/� 1 4' 15 1 =i✓Gr7
/ •
/1x
10 Change of use from
' Change of use to q
' ..tA,�:�«.. r,,•.rr,.,.•..,.•r•
_ ----
11 Valuation of work:
��
SPECIAL CONDITIONS:
PLAN CHECK FEE
l ��
PE.— FEE
L !!!
Type 01 __.
Const.
Occupancy •
Group
Division
IS,1- atrr v 4 i ep f' l ^fir
Size of Bldg.
(Total) Sq.'Ft..
No. of
Stories
Max. •
Occ. Load'
Fire
zone
Use
Zone
Fire Sprinklers
Required Dyes I rr--'�� INo
APPLICATION ACCEPTED BY:
PLANS CHECKED BY
APPBOV • FOR I UANCE BY:
No. of
Dwelling Units •
OFFSTRE£T PARKING SPACES:
Covered • Uncovered ,
NOTICE
SEpnRATF PERMIT:; ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING,. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORN. 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.
1 HEREBY CERTIFY THAT 1 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 EITHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Spacial Approvals
Required
Not Required
Apprnved
ZONING
-
HEALTH DEPT.
•
SOIL REPORT
OTHER (Specify)
•
,
•
. •
FOUNDATION
•
•
FRAMING
'
FINAL
SIGNATURE OF OWNER IIr OWNER BUILDER)
w+.w,.wrw •.. -...,
SIGNATURE pH AUTHORIZED AGF.1�T • (MATE)