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HomeMy WebLinkAboutPermit 0499 - Johnson ResidenceThis 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. Johnson Residence 1421058 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. JOB ADDRESS 14210 - 58th Ave. So. DATE 7/23/74 LEGAL 1DE5CR. LOT NO. 17.1( 1 10 TRACT Hillman's Seattle Gar en E Trac t s sHEEri OWNER MAIL ADDRESS ZIP 98067 PHONE 2 Leo E. Johnson Jr. 14210 - 58th Ave. So. Tukwila, Wa. 242 -4785 CONTRACTOR MAIL ADDRESS PHONE 2/_ 3_5788 LICENSE NO. A. G. Radford Const. 5826 So. 144th Tukwila, Wa. ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE N0. 4 ENGINEER MAIL ADDRESS PHONE LICENSE ND. C - 1 79 6 59 6 LENDER MAIL ADDRESS BRANCH G USE OF BUILDING Single Family Residence S Class of work: • NEW • ADDITION ;f7 ALTERATION 0 REPAIR • MOVE • REMOVE 9 Describe work: Add to existing dormer 10 Change of use from Change of use to • 11 Valuation of work: $ 2,000.00 PLAN CHECK FEE PERMIT FEE 5.00 SPECIAL CONDITIONS: Typo of Const. Occupancy Group x 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 PLANS CHECKED BY APP ED FO ISSUA 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. /..-.69) I r e) .LJL.iC 4 » t/_ Special Approvals Required Not Required Approved ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) FOUNDATION F RAMING ATURE or OWNE OWNER BUILDER) y� FINAL SIG"' UR OR UTHORIZ • GENT (DA RUILD1NG PERMIT Applicant to complete numbered spaces only. CITE JF TUKWILA BUILDING P, MIT 14475 • 59th Ave. So. / Tukwila, Washington 98067 WHEN PROPERLY VALIDATED ON THIS SPACE? THIS IS YOUR PERMI PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION OCCUPANCY PERMIT REQUIRED BUILDING PERMIT NO. N° 499 M.O. CASH JOB ADOR CSS / 4-21 d S s - r l ve. S . 7 ter�uZi1 i',,.' f1047 DATE 3 ,7 - 1 OE9CR. LOT O. / DLK /U TRACT ///'��1 1,4 /tr4 I I II,C ? 4 , ( / 'X0� ©S � TACHBD SHEET) ►"I li /JC OWNER MAIL ADDRESS ZIP PHONE 2 ZOO k f //e /¢2/0 .S q c�'D�o J " ��2 - ¢-7 es CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. C -. 017. Sea. So s -7/.. : 7 - A CHITECT OR DESIGNER MAIL ADDRESS PHONE LICCNSE NO. 0(.4) 045-Ira ENGINEER /.TAIL ADDRE33 PHONE LICENSE NO. 5 LENDER MAIL ADDRESS BRANCH 8 USE OF BUILDING 7 .. r 8 Class of work: ❑ NEW WADOITION ALTERATION • REPAIR • MOVE • REMOVE / 9 Describe work: 10 Change of use from /VD . H duct . Change of use to Nv C(I(V.t`4J 11 Valuation of work: $ *am.* .... �� © I PLAN CHECK FEE --� �v PERMIT FEE J — � - SPECIAL CONDITIONS: or or. Const. Occupancy Group ,x Division Size of Bldg. (Total) Sq. Ft. No. of Stories Max. Occ. Load Fire Zone Use Zone Fire Sprinkldrs Requlrod r Yes • No APPLICATION ACCEPTED HY: PLANS CHECKED HY: APPROVED FOR ISSUANCE 8Y; 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 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. � � 4 L ,li ),G/�,J l� Special Approvals Required Not Required Approved ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) FOUNDATION FRAMING FINAL SIGNATURE 0OW N J / OWNEn BUILDER) /f * / SIGNAT R ON AUITHORIZED T (DAT ) 4 *TORN IPZRICT Applicant to complete numbered spaces only. TUKWILA BUILDING P . v\ T 14475 • 59th Ave. So. / Tukwila, Washington 98067 OCCUPANCY PERMIT REQUIRED WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH wall section legal description site plan