HomeMy WebLinkAboutPermit 4329 - Van Dusen Residence - AdditionCITY OF TUKWILA (.
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
BUILDING PERMIT
Work to be done Addition /Remodel
Site Address 14228 59 Av S
Building Use Residence
Property Owner Gary & Karen Van Dusen
Address 14228 59 Av S Tukwila, WA
Contractor D. Larson Construction DLARSCRZ12MW
Address 14244 55 Av S Tukwila, WA
(Dave Larson 244 -9004)
FOR BUILDING PERMIT ONLY aoDroved for issuance by �r
PERMIT # ¢ 3 29
Control # 86 -147
Suite # Tenant Ilan Dusen
Assessors .Account # 336590- 1475 -0
Phone # 243 -6743
S • Ft.
Tit—FT.
Office
Storage/ e
Ware hous
Retai 1
Other
Occ.
Load
2nd Fl.
17a-717—
—Total
Fire Protection: ❑ Sprinklers J Detectors
Zoning Type of Construction V -N
Special Conditions
Zip 9818$
Phonei 244 -9004
Zip 98188
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $ 28,500.00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt #_ $
Receipt #1186 $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
189.00
1230
1.50
313.50
FUR SIGN PERMIT ONLY
❑ Permanent [] Temporary
❑ Single Face ❑ Double Face ❑ Wall Mounted 0 Free Standing El Other
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face Total square footage of sign
Special Conditions
THIS PERMIT BFCUMES NULL AND VOID IF WORK OR CONSTRUCTION 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 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 DUES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR ANCEL THE PP.O ISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER ORMANCE OF CONSTRUCTION.
�6�� -����� Date (5=2.—.-
LICENSED CONTRACTORS DECLARATION
I hereby affirm that 1 am li ed under provis oons of `+,: Business and Professions Code, and mylicense is in full force and effect.
Contractor (signature) Date full.
OWNER- BUILDER DECLARATION
( ) 1, as owner of the prcperty, or my employees, with wages as their sole compensation, will do the work, and the t.tructure is not 'ntended or
offered for sale.
( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
/S Igned_
1
CITY OF.TUKWILA
`'Building Division
620b:.Southcenter Boulevard
Tukwit'a,:, Washington 98188
(206) 433 -1845 BUILDING PERMIT
Work to be done Addition /Remodel
Site Address 14228 59 Av S
Building Use Residence
Property Owner Gary & Karen Van Uusen
Address 14228 59 Av S Tukwila, WA
Contractor D. Larson Construction (ULARSCRL12MW)
Address. 14244 55 Av S Tukwila, WA
(Dave Larson 244 -9004)
FOR BUILDING PERMIT ONLY approved for issuance
PERMIT #
Control # 86 -147
Suite # Tenant
Assessors Account #
Phone
S •
lit—TT.
Warehouse
Retail
Other
IOcc.
Load
2nd Fl.
Ird F1.
-Total
Fire Protection: [l Sprinklers [[ Detectors
Zoning -- - Type -of -Construction-- °V -N - --
Special Conditions
Van Wiser)
3b'b9U- 1475 -0
# Z43 -b/43
Zip 98188
Phone # 644 -9UU4
Zip 98186
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Total Valuation
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
.TOTAL
Fees
1st F1.
2nd F1.
other
other
of Construction
$
$ 28,500.00
Receipt # $
Receipt #1186 $ 123.00
Receipt # $
Receipt # $ 1.50
Receipt # $
Receipt # $
189.00
313.50
FOR SIGN PERMIT ONLY
[] Permanent [l Temporary
[I Single Face [] Double Face [] Wall Mounted [l Free Standing []'Other
Building face
Setbacks: Front Side
Square Footage of each sign face
Special Conditions
Side Rear
Total square footage of sign
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 •1 IONS ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEgEORMANCE OF CONSTRUCTION.
4/91-7.)- Z —C�
LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am life ed under pr vis ons oft a Business and Professions Code, and n Jice``se js in full force and effect.
�% ) 4.5
Contractor (signature) �' /�f�?/' v. ' %-(� ��l%�r'� Date �
OWNER- BUILDER DECLARATION
( ) I, as owner of the prcperty, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or
offered for sale.
( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Owner (signature)
r-
Date
CITY OF TUKWILA
raiding Division
6200 Southcentsr Boulevard
Tukwila, Washington 98188
(206) 433 -1849
Type of Inspect'on
Site Address )10,2g 5-9 4?erif
Requestor
Special Instructions
INSPECTrN RECORD
PERMIT # �3
Date / fo
J
Date Wanted /!
%6
-/
�•p.m.
. p.m.
Project e..pt
Phone # ..21 13 -‘ 75/3
Inspection Results /Comments:
Inspector /7,e)14,,,t_
Date lcV/ / 2
St'a
001 ADDRESS
WORK TO II DONE
OWNER
I i
CONTRACTOR
DATE ISSUED
CITY OF TUKWILA
IUILDIND PERMIT
INSPECTION 111IOO110
POST AT OR NEAR FRONT OF IJILDINI
PROTECT FROM WEATHER
City of Tukwila Puilding Division
433.'541
WI, 40 (IZ
Control 0
Date Issued®
101CIAL COND TIONI
•
Inspector mult;,:it$rn 4114404411 pertaining to this job.
lradina ,. I11da. 413414%)
Sethi* tilde. 403.1144 )17
RebarfPHtins/Paunl, tilde. d1I4I41� 7 - / / -84
!rout Mids. 41l•10411
,Prase
(11th. 413.114)1— W
Ra�fi�a Iltda. 411.1141)
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_Watt ,Iaard Illda. 411.114 /Z „z. =,�% ^
Wttar /Iarar /Orainaaa IShees 431.1110)
Parkin IPtna. 411.1141) I'
atraat Uab Pa2nita (PWD 411.1110)
1__IPira 411. 110 ®,f._ ■
FINAL: (I I . 433 141)
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Structural In: Out: 1
Per letter dated:
,1J) CSAuk aw(:r
Required number of parking stalls
tAv
1
G
.0
.
.4
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V' .4
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BUILDING
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WORKS
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g-o7- c: e 4 8 p
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toad
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re Protection::
Detectors'..
pe of Construction
j.. Fees
t'1 sq;ti'It ri`P �a,n w i a CK St ?
sq,1 `ft. i� ,� 2nd 1,n4.
sq. •ftr. •i othefrl�,:'''$.
sq. ft. ®-:N° j o'ther ' E
.Total Valuation of;Constructlof� $ 4
o
:Bldg. Permit 'Fee
Tian Check Fee
Demolition •a
Surcharges'
Other
Other
Receipt�f
Receipt #,
Receipt - #
Receipt #
Receipt #
Receipt # $
TOTAL 70W-.9-' /Q 3, 5-0) $3/ 3 „--7)
TRACKING
nEPARTMENT
DATE
IN
DATE
OUT
COMMENTS
BUILDING
,,,;
5- -'
Structural In: Out:
I nt:
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era r,
Y
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PL,
A,�
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a ��Y `r
,t
Q
t�.ry, "Y';
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.,. +
P3 •' +: ,
Zoning: -' Setbacks: N e`'
S_
2 E.4_12_
W_.`
Existing number of parking stal: s
..
L�:•3
' equired number of parking,:stal l s'
•
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Approved plan dates �L, �,
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{
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
BUILDING PERMIT APPLICATION
(Please Print)
Describe work to be done /4,1,),-4,2,%,
Control #
Valuation 2g, SOO, DC)
Plan Check Fee /.76,00
Receipt # / /g,
91 k,-/-f..4 et-7 Rofro,o de./
Site Address /92_2- _ �� S, Suite # Tenant Gam
Assessors Account # Valuation of Construction
Type of Construction
Grading: Fill cubic yards Cut cubic yards
Building Use 42.-,c,
Property Owner 6g0,-,7, �. �� �e `/�� 1")� S P 47 Phone #
Address 1 V Z 7 _ S S t" 4'r C
Applicant
Address
Architect /Engineer
Occ. Group
aU3 -676/3
Zip 95--/�- -�
Phone #
Zip
Phone #
Address /Z,iip
License # ,1 4A2,SrA'Z. /2M_�Phone #
Contractor, Gam,- (3,1,., 6w-75A
Address
/97-4 7' - ,s Sr '14; c,
7;4, ZiP,� /�sr
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT.
Applicant /Authorized Agent (signature)
(print name)
Contact Person (please Print)
(8/85)
/36-‘,J , d V,
Phone # 4.-/ yC�G
%cr S (74-7
Date _�-� --
mcovall
ary �r �►ur� ��t �
. . , , ,.. :„.A.,,,. ,.'„ ,....: F,. I LE COPY .,:....- , • •
-,,,,„_„,„„ ,,,, ■,..1
1 understand thE.,.* the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violattt.:1of ary,o, . g. r
zdopted code or ordinance.' Re.ceipt of contracior's
copy of approved plans acknowledged.
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„,,,Permit No . '.':.-.1.-:': .............. :. .......... ..... ........... _
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141AY 96 1986
Vir.'akar. dtiotgato,i!
CITY OF TUKWILA
PLANNING DEPT
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APPROVED
MAY 9 1986
/AS Witt/
ft DING DIVISION
WEEINIM
MAY 6 1986]
CITY OF TUKWILA
PLANNING DEPT.
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