HomeMy WebLinkAboutPermit 0475 - FHA - DemolitionThis 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.
475
A: F11
1440453 Id 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.
JOB ADDRESS
14004 - 53rd Ave. So.
DATE
6/5/74
LEGAL
1 DEGER.
LOT NO.
W. 100 ft. of 3
BLK
2
TRACT (OS EE ATTACHED SHEET)
Colgroves Acre Tracts
OWNER MAIL ADDRESS ZIP PHONE
2 F. H. A.
CONTRACTOR MAIL ADDRESS PHONE 226 - 6282 LICENSE NO.
DOBI Corp. 1431 Maple Ave. S. W. Renton, Wash.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
C -117 -5672
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: ■ NEW • ADDITION • ALTERATION • REPAIR • MOVE REMOVE
9 Describe work: Demolish Dwelling
10 Change of use from
Change of use to
11 Valuation of work: $
PLAN CHECK FEE
PERMIT FEE 5.00
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 Oyes • NO
APPLICATION ACCEPTED BY:
PLANS CHECKED BY
/
AP
rrOVE
FOR SUANCE BY
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
PROVI TO OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONS CTION OR THE PERFORMANCE OF CONSTRUCTION.
l 1 6 (7" i f��...d
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER (II OWN , j ' BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT( )F TUKWILA BUILDING Pt.. MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERM$
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
BUILDING
PERMIT NO.
N 4
M.O. CASH
JOS AOOR Las
/1( 0v y- ro ,za z lv`z.S . •
DATE
1 L EDC11-
LOT NO.
f /GC Fr vi° ...3
DLN
.1/
TRACT
/] . �_ cJ3EE ATTACHED esxET)
' iZ l' • ` c4.4 `72.4.c '
OWMEII MAIL ADOHESS ZIP PHONE.
2 F fit- A .
CONTRACTOR MAIL ADDRESS t PRUNE LICENSE NO.
ARCO.. CT OR DESIGNER MAIL ADDRESS PHOM'L LICENSE HO. •
•
(.- • / 72 — J r 6 7y
ENGINEER MAIL ADDRESS PHONE LICENSE HO.
•
5
LENDER MAIL ADONESO SRAHCH
• .
fi •
USE OF DUILOING .
• •
8 Class of Work: • MEW • • ADDITION 0 ALTERATION • REPAIR • MOVE REMOVE •
9 Describe Work: •
. IG/ r2 /4,M., s re •DLO 1.4 A_ L • K
•
10 Change of use from • • • • •
•
' Change of use to '
•
•
11 Valuation of Work: $ •
PLAN CHECK FEE
pc)
P ER MI T FEED
SPECIAL CONDITIONS:
Type of
Const.
Occupancy •
Group
•
•
Dlvlslon .
• •
Size of Bldg. •
(Total) Sq.'Ft..
No. of
Stories
Max. •
Occ. Load'
•
•
Fire
Zonis
Uso
Zona •'
Fifer Sprinklers
Required Dyi,s CJNo
APPLICATION ACCEPTS 08Y:
PLANS CHECKED BY:
APPROVED FOR ISSUANCE DY:
No, of •
Dwelling Units ' •
OFFSTREET PARKING SPACESs .
Covered • • Uncovered
NOTICE •
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING. 1
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN GO DAYS, OR IF
CONSTRUCTION OFl 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 DE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL EIE COMPLIED WITH WHETHER SPECIFIED
HE(1EIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TFIE
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
alGNATU HE OP' OWNER IIE OWNER SUILDEU)
•
•
+ICNATUNE ON AUTHOHIZCD AGENT IDATE)
APPLICATION •
app licant to complete numbered spaces only.
CITY FTU KW' LA BU1 LID] NG PERMIT
1144( 59th Ave. So. / Tukwila, Washington 9i
V7