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Permit 4446 - Brown Residence - Move House
CITY OF TUKWILA 1: Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address Building Use Property Owner Address Contractor Address BUILDING PERMIT PERMIT # qq4-6 Control # 86 -291 Special Inspection for House Relocation (1638 S 133 St) S 166 St & 51 Av S Suite # Tenant Brown Residence Assessors Account # NJA Charles L. Brown Phone # 246 -2136 12426 2nd Ave. So., Seattle, WA Zip 98168 C & M Brown & Associates #CMB11OA167NK Phone # 246 -2136 12426 2nd Ave. So., Seattle, WA Zi. 98168 FOR BUILDING PERMIT ONLY Approved for issuance by Sq. Ft. Office Storreage/ e Wa hous Retail Other Occ. Load 1st F1. 2-n d FT: 3rd F1. Total ' Fire Protection: [] Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd Fl. $ other $ other $ Total Valuation of Construction $ 0 Bldg. Permit Fee Receipt # $ Plan Check Fee Receipt # $ Demolition Receipt # $ Surcharges Receipt # $ Other Inspection Receipt #3112 $ 30.00 Other Receipt # $ TOTAL $ 30.00 FOR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary ❑ Single Face ❑ Double Face ❑ Wall Mounted ❑ Free Standing ❑ Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions 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 1S 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 TIIE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signed Date LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect. Contractor (signature) Date OWNER- BUILDER DECLARATION ( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date CITY OF TUKWILIf Building DivisX 200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done Site Address Building Use Property Owner Address Contractor Address Special Inspection S 166 St & 51 Av S Residence Charles L. Brown 12426 2nd Ave. So., Seattle, WA C & M Brown & Associates #CMBR0A1b/NA PERMIT # / P y/L -k� Control # for House Relocation (1638 S 133 St) Suite # Tenant BroWn Assessors Account # N/A 12426 2nd Ave. So., Seattle, WA 86 -291 Phone # Z4b -Z1J6 Zip 9 i1bb Phone # �4b-G1ib Zio 9806 FOR BUILDING PERMIT ONLY Approved for issuance by Sq. Warehouse e Retail Other Occ. Load 1st F1. 2nd F1. 3rd F1. Total Fire Protection: [[ Sprinklers (J Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Inspection Other TOTAL Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt #3112 $ 30.00 Receipt # $ $ 30.00 FOR SIGN PERMIT ONLY ,0 Permanent [[ Temporary Q Single Face [[ Double Face 0 Wall Mounted [] Free Standing [] Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 15 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. Signed Date LICENSED CONTRACTORS DECLARATION 1 hereby affirm that 1 am licensed under provisions of the Business and Professions Code, and my license is in full Date Contractor (signature) ( ) 1, as owner of the offered for sale. ( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. force and effect. OWNER - BUILDER DECLARATION property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or Uwner (signature) Date CITY OF TUKWILA Building Division 62x' Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection 5'ecr,P% 1:11 S -- Site Address 5 /4G St/S/gv so. Requestor C h v e Special Instructions INSP "TION RECORD PERMIT # 094 Date 0,3/1� «taI) --� Date Wanted 006 a.m. p.m. Project ,& -ouin `S`oecid/ JiSro) Phone # Inspection Results /Comments: d 0-et 4 4211111111011111111, r-/ Inspector Date z�/f27 CITY OraJKWILA Building Divis 6200 Southcent 3ou1evard Tukwila, Washington 98188 (206) 433 -1845 INSPEC QN IRECORD k � Permit # qt-It-go L- - tie. Address Type of Inspection REQUESTED: /?f� 0 rr„,,, e Requested 0 e1 ime of Request Im tk &yawl, Requestor ;4 -ON Special instructions: &Y/ £ 1uc ,k Of - Q©ll� ' /c,I-nt KIP,- V- he/1/ c,nptel- G q INSPECTION (details of actual inspection): REMARKS (results, descrepancies, etc.) a.g;, il,v49 2,6 ("414( ey7,4 CITY OF TUKWILA - BUILDING DEPARTMENT Inspector .}9›; ,eve ___•_._........+.�...._.a,. mrwaH ..wLO�a�tlJW.OR�t,Ylsti�C�CIxAWW aziAcb ceraeL .r4.e-es;ef .e/07.4 -Aelemtel ..e;veg (.skit c ' '' P � � JL 3 7 - ( /), /lx Gc +h c �%t -cucep �0 ) - e-eir2et9 dev—" r `7'2641' 'e-° co-et -eh /g ir, 44,t/ cpc,e ' e/ '. ,e awe/44, )6a .-40