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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$rn 4114404411 pertaining to this job. lradina ,. I11da. 413414%) Sethi* tilde. 403.1144 )17 RebarfPHtins/Paunl, tilde. d1I4I41� 7 - / / -84 !rout Mids. 41l•10411 ,Prase (11th. 413.114)1— W Ra�fi�a Iltda. 411.1141) lw�ltt ion I11 da. 413.1141 ),�,�w Maahttttaal Iltda.4114U1)- ,,o„� _Watt ,Iaard Illda. 411.114 /Z „z. =,�% ^ Wttar /Iarar /Orainaaa IShees 431.1110) Parkin IPtna. 411.1141) I' atraat Uab Pa2nita (PWD 411.1110) 1__IPira 411. 110 ®,f._ ■ FINAL: (I I . 433 141) las i`�,•yr;;. •i, r� f;�'vty`I�„hr' F•' ' £ W VI IN VI VI VI VI U. L. L L C KS/ ,/ Y 0 L - N C ■• a+ N .ti N 0 O U 7 t 0 0 �+ Q.0 a. 0. 0. 0. 0. 0. 0. 0 UUUUwal 0 U U U U U U C../ a/ a! a! 01 al a1 C CC CC CC CC OC w 01/ dV 0.H O L; 0 0 L al O N2 Work Op JJ OZ) CIC J m 5 x S B P N L N N 0 N d Y CU L U 7 0 C C L C a cC 0 L) FOR u 0 N W N • N N U. U. C a 0 hi O 7 0 o L U U al 0 O V L. Q. O CU r Structural In: Out: 1 Per letter dated: ,1J) CSAuk aw(:r Required number of parking stalls tAv 1 G .0 . .4 `1 V' .4 .2 C .• BUILDING C. PUBLIC WORKS OTHER g-o7- c: e 4 8 p L h I- fig # 10E111400 03 m CEO toad Vii. s 9, owl t .:.. .. -.. . 1j.; i 47- 'otaf , P. re Protection:: Detectors'.. pe of Construction j.. Fees t'1 sq;ti'It ri`P �a,n w i a CK St ? sq,1 `ft. i� ,� 2nd 1,n4. sq. •ftr. •i othefrl�,:'''$. 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: Y / FIRFr, If era r, Y `... I nt : Per letter dated: • .- `: PL, A,� �i ro o a ��Y `r ,t Q t�.ry, "Y'; i .� .,. + 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' • �- .' �•_• r Iw xa t Simi f a , n ; tr, ,.)rLAr" Intl' Per letter dated ,h• 1,4 1i'I yP Approved plan dates �L, �, a 4 y { 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. i3Ty''e. . . .. ):::: .,, . iir .1 : .4. :iiit. . .... :, .. . ...,. :. .. . ...,...: .... .. .2..7 ...:-.:. ft) Date......... :"...".'.'51(2.8....S`G. ".,-.,:::,.1.....,:,..:......'..-:::i.. ,.. „,,,Permit No . '.':.-.1.-:': .............. :. .......... ..... ........... _ N@IJWC) 141AY 96 1986 Vir.'akar. dtiotgato,i! CITY OF TUKWILA PLANNING DEPT („„,. 11111.1 ItIrlii INC .1 I 11 I 11 I 1 I 1' 1 I 1 I I 1 I 1 I I • I I I I I I I I I I 51 11111111111 I .6 • • N`‘ 214-1 R.( 601D A 4? 4) — 41; -1 Ow. 4- 4 rfoo yd. 4-7 E3 A /10 7:7 1. C da:e ------- . •7".--/ I kr, ev. S fijc.L;;L-4.5.% i-;itoi cift 7r-;: :te e.4 • • .4 r- .5 v.- ..; ; 4" ,! I ) i I —....spoommo.......-- 0 rt. ., ,....._! 4.... .... i —...i • P.173/90 '• 9 k• ;""0/4••••: / - 5. 1 2 it h*/6 / --51_f_p..._azotka A• I 1..5. 0 • /5 b2.... 2 Al .1"4 • Fla /If ;01(4 SP fh 9k, 6 < 01 • • P(5e3 4- 0, 144,.-.5, r Ex.:) 5 ttr,-, nOWNWNINO WWNOWINNEW. I 5,1. 34 Po,e L. ..... I 11 4.4 1 Ce. at, /I" / 7- 3 - I V I 13y O. L '1 FP W.^ - 11:? c Ai* .)1-1‘1- • it 1.1,- =MO. VON. • • , .r.-."41ATAMSM,r, .1110.1.1. A tee, -.547? e „ .02.11e4 L.0-4.2 CITY OF TOKWIIA APPROVED MAY 9 1986 /AS Witt/ ft DING DIVISION WEEINIM MAY 6 1986] CITY OF TUKWILA PLANNING DEPT. • • • •1 • : • ..e.s.441 Lo • •=r •••••■• I. Ae••••-• • . • • . 111144446datainazaku‘,:as...- . • I _ - AA. • • = • - • •■ - - , 3a/ 41) te)1.-0 dek,,,, Ai4 Jai ^Sok, fo.......1■■■••■•■■■■■fty...."‘r•Korerma .0..4,7***aaff.■4■Millkovik.O.Ii.o.sekVirshmovalaimasits111.ftsimiplo. ........••••■•••••■•■■•■••■•■•• ME1F-E) • MAY 6 19861 ../•■•■••••CNNMOVNNTW - . • "'• • '. " • . .