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Permit 2839 - Erickson Residence - Addition
BUILDINGPERMIT WTHIS ERMIT MUST BE P STED CONSPICUOUSLY ON BUILDING PERMIT NUMBER & 43 1 Control Number 84 -219 Job Address 14930 57th Ave. So. Tenant /Owner Erickson Occ. Date of Issuanc ....-2- 7— 7 Description of Work Addition - Residence Legal Descripti n Atta hed Of Dot, £/l� I1OL vate bi?uctli %1?3 5 Property Owner Wm L. Er cksorl Address 1493u 57th Ave. So. Tukwila, WA 98168 Phone 242 -7897 Engineer /Architect Address pi-i4 Phone Contractor Owner Address Same as above 1537 Phone Authorized Agent ,,, , II I License No. \ A Bldg. Value of Work 4 500 ire Protection Use Zone R-1 Type of Construction '',A/ Frame . -. -.;• -° -t*�f�• g=- Issued by: .1r/ - Sprinklers E.:3 Detectors Size of Unit or Building - Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. 40 1st Fl. Rebar 4,-3 pi-i4 P.C. 33.00 6 -18 1537 2nd Fl. 192 Fdtn. Bldg. 51.00 Frame Demo. Bond Wall Bd. Total Tot. Tot. Total 84.00 Special Conditions Approved for Issuance B NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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 PERIi.ORMANCE OF CONSTRUCTION. Signatur: of Contractor or Authorized Agent. `Date \ . _ . f r INSPECTION RECORD - 433 -1845 Type Insp. Date Notes Setback Rebar Footing Fdtn. Slab Frame Wall Bd. Dept. Approvals Req'd Insp. Date Planning 'Div. Health Dept. Public Works Dept. Plumbing Electrical �( Cert. of Occupancy Fire Dept Date Bldg. Official Date THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. I •■• • BUILDING PERMIT CITY OF TUKWILA THIS ERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING PERMIT NUMBER c:? 7,.-; Control Number 84-210 Job Address 11:930 57tn Ave. So. Tenant/Owner Erickson Date of Issuance c';---.I 7- ;-;‘,--1" mAttached- Description of Work Addition-Residence Legal Description Property Owner Wm L. Erickson Address 14930 57th Ave. So. Tukwila, WA 9168 Phone . 242-7897 -Engineer/Architect Address i?-3 Phone Contractor Owner Address Sam as above Phone Authorized Agent W L. Erickson License No. /A Value of Work 4m ,500 Ap03;;Acteptet45 Issued by: F ire Protection CD Sprinklers In Detectors Use Zone Type of R-1 Construction /7---A/ 1 Size of Unit or Building Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. 0 1st Fl. Rebar i?-3 Al-i4 P.C. c,3,1)U o-16 ibi/ 2nd Fl. 192 Fdtn. -7 Bldg. bi.UU i.( e• ..,..„„..... Frame Demo. Bond Wa ".111WAWAPIIV,--.AL,-- .00t ,. 71-15fiT- Tot. Tot. Total w...u0 Special Conditions Type Insp. Date Notes Setback Rebar Footing '3, Fdtn. -7 Approved for Issuance i.( e• ..,..„„..... NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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. Signature of Contractor or Authorized Agent, Date FINAL APPROVALS: Fire Dept.. Date INSPECTION RECORD - 433-1845 Type Insp. Date Notes Setback Rebar Footing Fdtn. Slab Frame Wa ".111WAWAPIIV,--.AL,-- Dept. Approvals Req'd Insp. Date Planning 'Div. Health Dept. Public Works Dept. Plumbing Electrical 2L_____ Cert. of Occupancy Bldg. Offici / ate 7-3- THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. I Permit # p. Q`3 / Date 7 --,02f..- Tenant Time 2/s Address: /418.e5 —,c1-7141,5 Date Wanted: Contr. or Owner Type of Inspection GoZ► ili Req. By Taken By Perini t # Date Q/0/ Tenant f'( fjit) Time 2 Address: J Q J 74 Date Wanted: COJr" ( .m.P m. Contr. or Owner Type of Inspection el)71-6/L) ermi t Address : Date Wanted: /p -y Contr. or Owner. Type of Inspection ':,;Taken By4! :..... .............. a If ....... .... .............................. ....... • BUILDING ERMIT TUKWIILA THIS PERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING PERMIT NUMBER Control Number 2Y3? Job Address Tenant /Owner Occ. Date of Issuance Description of Work Legal Description D Attached Property Owner 1st Fl. Address ...... , t . .. _ • Phone Engineer /Architect P.C. Address Phone Contractor s:: Address _._ _,. Vt: Phone Authorized Agent Bldg. License No. Frame Value of Work Fire Protection Q Sprinklers L7 Detectors Use Zone Type of Construction Appl. Accepted By I Size of Unit or Building Uses Sq.Ft. Occ. 0cc. Load Fees Amt. Date Rec. 40 1st Fl. Rebar ¢•Z • P.C. 2nd Fl.. s:: Approved for Issuance• By ' ' . Bldg. • Frame Demo. AIr^Ar- Wail Bd. i .. Bond l otal _ Tot. Tot. _Total Insp. Date Planning 'Div. Special Conditions • Type • Date Notes Setback i. Rebar ¢•Z Footing Fdtn. Approved for Issuance• By ' ' . .. r,.� - NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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. Signature of Contractor or Authorized Agent. Date INSPECTION RECORD - 433 -1845 Type In p. Date Notes Setback i. Rebar ¢•Z Footing Fdtn. Slab Frame AIr^Ar- Wail Bd. i .. l Dept. Approvals Req'd Insp. Date Planning 'Div. Health Dept. Public Works Dept. Plumbing `Electrical Cert. o occupancy FINAL APPROVALS: Fire Dept.- Date Bldg. Official Date. THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. I TUkWILLATWAS 98168 BROOKVALE GARDEN TRS LOT A TUJKWILA SP BLA- AF #7806080579 SD SP S 165 FT OF THAT POR BROOKVALE GARDEN TRS 2380 3 -78 REC OFFLOT 40 LY W OF First hall tax must. be. paid by APRIL 30th or ENTIRE TAX, BECOMES DELINQUENT wit( 12 % ANNUAL INTEREST plus penalty (See Reverse Side). Second halt tax becomes delin- quent atter OCTOBER 31st. FULL AMOUNT MAY BE PAID APRIL 30th ETC DELINQUENT TAX INFORMATION YEAR INTEREST • TAX PENALTY 1141 07110/' DELINOFJENT TOTAL • 4.2"Z rOTAL1CURRENT:r'1''•• t"Y}INDOE11NOUEHTS •, rnwn n�wwr. r. e.. rn:, nrr..^. M. f. x. r. 7: rt�: r7.^ ................... ............. ..a....t . . ....... 707 -1 .............................................................................................................. ............................... 1 _�Y ✓..T.}y'.t•t ^~Y t -�•1 •% •�i:.•j��:i.�.r1=tiNRIR It • .......... 1'31 ............. ..... 7:�} pt !}�(j }.! 1111: u:1;tt5:.:t • ............. • .r ....................... ::t I'•i it IThttIM: .......•.....t ...................................................................................................................................... ............................... ••s•t ......... — ................ •7 : 11: 1 ..... ........ .... 1:::::: t: tt ............. : : : : : : : : : : : : : : : : : : : : : : : : : :� : : :' : : :.� :':::::::::::: : : : : : : : :•. : : : : : : : : : : : ..... ..........:5 ...................••••• •.• ••.•••• ......1:: ?..... • '.t. ••J••1 t tt J 1 : :a1 r 1 tat a;!I2il 1 t t:t:WI:1M ili ........................... .............................. ...... ...... .7 t ..... • a ...• ..................•....... :ants tt : ::aittt 11111: attic :::a t It .............................. • • t t • : 1. 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V: :: : : : : : : : : : : : : :: : : : : : :::::t:: : . ... .................... ... u :::ttt:t :rum::t:t 7:J t•••••:r: • ........................ ................tint :......tilt:til'il:ai I 1•:: ::•• t 1 11 :I,I ............. ;%'.::.::::•:::::::::::::•::::::;:::::::::::::::::::::: : : : : : : : : :...... : : : .. t .............. tint :a : :.:.:�2%;t1; :::tt:'A I%I:%HH%ttat45111 H ut.......•.nan : 7't UtU ::11IIUI 1:r :a : : :fa :{a ::a t 71 " "' ......• : : :rIrtrIlr,rrrrtr 77t :1f : :: :t :1: : :rlirr:• :: :111 •••••••••••• If t:r • ....... ...... 17211 • ••••••:r:t:JJ :J : :r :r :11:1::::1r wi : :rr:::::::::J:lrr ::r :rr.... :......:::..... . :t:t ::::::: :::N...... :::!::::. .....:7:+:::: : : : :11 : :r it::: :tl:t : : :tt :t tI I t s ...........1: :t1tt: :21St C.ont,rul Number qt/-Al ( �l APPLICATION FOR PERMIT • BUILDING DEPARTMENT CITY of TUKWILA 6200 SOUTHCENTER BOULEVARD TUKWILA, WASHINGTON 98188 433 -1849 • mI [! [1 \y1 TR NUN 113 1984 CITY C' "I u:s.v..“ ".A _r, PLANNING DEPT. DATE 7._, -•ey [ • JOB ADDRESS N.: q © -S7 f LEGAL DESCR. LOT NO./ Li p BLOCK TRACT EE ATTACHED SHEET ,_ OWNER / z&e:"'`4 PHONE , / ADDRESS / �c7 r� r-S ^� 4 ' Gj '%%_ /,[>•zr GGA,' .GV/C.,e- e�tJ"�, !/ - ZIP P ,.%�j,7 CONTRACTOR PHONE ,. 5Z 7 [ 7 ADDRESS ZIP .` LICENSE NO S ST NO. BUILDING USE TENANT CLASS OF WORK . . ❑ NEW giltDDITION • ❑ REMODEL ❑ REPAIR ❑ OTHER (Specify) BLDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE # OF STORES TOTAL S.F. VALUATION ALd� • / A'/` PLANNING/ SEPA // gvC / 6 - NAME OF APPLICANT (PLEASE PRINT) VW / E n l r�- o , - G. /�I t��YC ADDRESS � L( c 7 d 5-7 GW }� /.,.. ev 4.N..... p q PHONE % C/ 2 °2O ( 7 I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT AND THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET. / i • SIGNATURE OF APP ICANT DO NOT WRITE BELOW THIS LINE • TYPE,CONST. ,, OCC. GROUP OCC. LOAD USE ZONE AUTO SPRINKLERS REQ. I DETECTOR I g—. 3 'Y17 D YES ❑ NO 1111 YES ❑ NO PLAN RVW PLANS: SENT RETURNED APPROVED FEE DISTRIB. -' '" Amount BUILDING 5 -is CV FIRE DEPT. PLAN RVW. _3, DEMOLITION PLANNING/ SEPA BOND OTHER PUBLIC WKS. J TOTAL �j'[� /� v /'(/(J Bldg. Div Air WAr/ . • Dat- Paid Receipt 4) COMMENTS: • BP: v.0 tom, AIIIII,'s' E111111 PC: IMIRMIEfilkillIIIMarAN