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Permit 4772 - Lindberg Residence - Addition
CITY OF TUKWILA (, 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 Addition 13902 53rd Avenue S. Residence Kenny Lindberg 13902 53 S. Tukwila WA A. G. Radford Const. PERMIT # Control # 4/77 a.) 87 -216 Suite # Tenant LINUBLRG Assessors Account # 167040 - 0126 -0 Phone # 242 -1967 Zip 98188 Phone # 243 -5788 WA -� I Zip 98188 FOR BUILDING PERMIT ONLY Approved far Issuance by :_ S q • Warehouse e Retail Other Occ. Load 1st Fl. 40 R -3 N/A 2nd F1. 3rd F1. Total Fire Protect>iti4xxx[x� Sprinklers El Detectors Zoning R -1 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 Other TOTAL 3,000 Receipt # urS "46 $ 54.d0 Receipt # 763q $ 35.09 Receipt # $ Receipt # $ 1.50 Receipt # $ Receipt # $ 90.50 FUR SIGN PERMIT ONLY Q Permanent ❑ Temporary [J Single Face Q Double Face [] Wall Mounted L] Free Standing ❑ Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions MIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDUNEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 COMMENCED. l HEREBY CERTIFY THAT l 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 (.0 Jl� — -- - -- — LICENSED CONTRACTORS DECLARATION 1 hereby affirm that 1 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 ( ) 1, 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 TUKWILA (- 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 Addition 13902 53rd Avenue S. Residence Kenny Lindberg 13902 53 S. Tukwila WA A. G. RadfordCConst. 58255. 144th Tukwila PERMIT # Control # �- / 87 -216 Suite # Tenant LfliutsERG Assessors Account # 16744n- 0176 -0 Phone # 242 -1967 Zip 98188 Phone # 243 -5788 98188 FOR BUILDING PERMIT ONLY Approved for Isain_cd b Sq. Ft. Office Storage/ e Wareh o u s Retail Other Occ. Load 1st F1. 40 R -3 N/A 2nd Fi. 3rd Fl. Total Fire Protect36m31511 Sprinklers ❑ Detectors Zonirig.'..R- 1.....'_. -. "Type of Con`striicfion Special Conditions Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. $ 2nd Fl. $ other $ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other 3,000 Receipt # 7 A S" 6 $ 54.00 Receipt # 7639 $ 35.00 Receipt # $ Receipt # 755- (, $ 1.50 Receipt # $ Receipt # $ TOTAL _ • $ 90.50 FUR SIGN PERMIT ONLY ❑ Permanent ['Temporary [] Single Face ❑ Double Face ❑ Wall Mounted J 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 1S SUSPENDED OR 'ABANUONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY TIIAT l HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU 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. Date Signed LICENSED CONTRACTORS DECLARATION 1 hereby affirm that 1 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 ( ) 1, as owner of the property, or my employees, with wages as their sole compensatio9, will do the work, and the, structure is not intended or offered for sale. . as owner of the property, am exclusively contracting with licensed contractor's to construct the project, Owner (signature) Date 01' 4:3 x f' e'»'. 41, 31 %,Imt.YVIC.4W.4r[ITtrIV'!IWINA Ts.e'eMEMV4 rA1.1.,t IN �gKr1P`.S.Kft`A :�: ?tle4 CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address /390a 7 3 4 S. Requestor 16A-44 t-i!A Special Instructions >' 4'f rY!' 37,11;:` u' b' C. 4^; n?Fll'. ML411.1"-`, Nui` / fW4 1: Lt1: TM) tSS;' Y' A.":". J. C9 't.17iiS'Cl��fii ?i��;f::4'i11:i «� � I'F ;1{ %!. n' erg' Irt^ J %l{3�S�Y .f�.L^. .':�i�:.':{'�`v.�:: .. INSPECTN RECORD -/7Za. PERMIT # Date — E 7 Date Wanted-Thu.4o Z 07 Project ° N„ 7 Alfp Phone # i 9 ti 7 „Le Inspection Results /Comments: Inspector Date ?P 07 .Cu"Lltid.3i!i4i1aT' CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 :aVrtty.Mw.;. car+ cxe. sto,:rwwvwraarnJa,mearax+:A.�un H•nsrro;.•u vkrerat,:v ; earcv,:.:a. Ttr,.: iSq.t.•.1 4-.. ViKpatSYt..3 •Mt':PiR+9?4:Gds'.ni'3YaMilit14 • INSPECTCN RECORD PERMIT # % ? 7 a.. Date -'7 - Type of Inspection Date Wanted iy, -c. 7/,(7 a.m. .m) Site Address /3500, 3r f S. Project 2, i Requestor Phone # .:2-l.z -1 /96 7 Special Instructions Inspection Results /Comments: Inspector �1 "rte gt-eei? D ate VA% %� P � L CITY OF TUKWILA Building Division 6200 Southcantsr Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection TV ?07, Site Address 1 63)- c(A).p Requestor /Veyj /7/ Special Instructions m,i,wmeAttb onw :voe,er4Wco Lein f!t3CY,.0 ^SIC INSPECT 'I N RECORD PERMIT # Date 7 /007 /Fc Date Wanted 7/3// R"'7 Project G. 111 r Phone # /7641.7 a.m. Inspection Results /Comments: Inspector Date 7Z3./ ,",f'; ;viii �h M7Y' tA,' Skxf.S YA77acT77� +f:Yltd1!kAx}�a.K;irteWwt ntnM. u..:,k., rw .......m.wn....,:,A.- W.4..4 n.�a CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection Site Address /39C).2. Requestor Special Instructions bA �kew�saeYJiTnY. 4'" 3. L' N. r^,` d D' I; 1h:& s,+,'S':CvTd'C�;S�Ziu��"o-l`.!t: INSPEC ;ON RECORD PERMIT # '/'7 12, Date 1 a,1 ^ 0 / 5-3sA. s. Date Wanted /—..2 —J7 r' Project Phone # ?'/.2 796 7 a.m. m' m adx Inspection Results /Comments: art r� -�i -L Inspector__ 1 .�,� Date 7/Vg? - . . CITY OF TUKWILA ,. ry Buildin Division r r . �s' Tukwila, tWashington ui98188 BUIr)ING PERMIT APPLIC`�,, T'ION Control �S'1 �) CO (206) 433 -1845 Site Address 13`702 .513.-4(,),M S,T7 , j 4 2214 Suite# Floor# Project Name /Tenant .l- berpTr4-,% ,Up k es.,i/tol3NPr, -- Valuation of Construction ©q� ,—' Assessors Account# /q4,7 Property Owner /-t'/,c�2tir,, .L.lND.% s 2Cr- Phone 2 4Z - milp Address 13yo2 31=v S 71_, et.ric 64- Gv4 Zip 981S,e Appl i cant A C'. 'poPDR,D Phone 2.4 3-S788 Address $S 6 S'o /44°'` '7-4, to &; zip'?/.19.8 Architect /Engineer �Q.', ra''t7F =O1ZD Phone ac.3 •s-7B8 Address 5;424 _. . ?-N u - _ , Zip 98/68 Contractor A i ?#4C)f -p!' -- License# R Op j'04Ci-3 8(f4 f,1 Phone °243•- c37130 Ca,u5-7 Address ,6' -es24. .s© /44-7:1 7--C1-0,e..64 2.9%' Zip ?8f8& Class of Work: [] New E Addition Tenant Improvement ®..Remodel (residential) [] Reroof Demolition Interior Demolition Other Describe work to be done f4i0p 404' - (C_0.w10CL6 as 11 -"F'. f vdnJ Tye of Const. (UBC) Occ. Group (UBC) Square footage of entire building ()3'? ADD9o'' Square footage of tenant space (37c1- t -4D4' Building Use _ • 14 _- - - ,,:" c: Will there be a change of use? [] Yes No If yes, describe change of use, including square footages of changed areas Will there be storage or use of flammable, combustible or hazardous materials on the premise or area of construction? Yes ® No If yes, explain HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZATION TO DO THIS WORK. Applicant /Authorized Agent (signature) A4r2 /'1 Date •lz/87 (print name) f�,a.41 F;p,eo Contact Person (please print) /-'T /y y , ift.40 QE7, C, Phone .'42- (c?67 . . OFFICE USE ONLY Z3° FEES: Building Permit Fee (000/322.100) $ _ 7 Receipt# 7 XS'C' Date Paid C.--(r-7 Plan Check Fee (000/345.830) /kg; 1 / Receipt# Date Paid (2- .2-$ V s Bldg Code Sur Charge (000/386.904) -"�" ' Receipt# Date Paid 6- -1N -15, Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL i'(e (OWES: $ ”,5O ) SQUARE FOOTAGE /BUILDING USE INFORMATION squire Footaq_pf Entirq Building: FLOOR USE /Occ Type SQ.FT. OCC LOAD USE /Occ Typei SQ.FT. OCC LOAD USE /Occ Type SQ.FT. OCC IMAD TOTAL SQ.FT. TOTAL OCC. TOTAL TRACKING 1 • . 1, I' 1 OMME BLDG / ti.)'r lfti (2 S 1 Approved for Issuance - Type of Const. To Mahan: Date Approved: FIRE Approved (Initials) i Per letter dated Fire Protection: • Sprinklq';:YDe"tciors PLNG Approved (Initials) C'<.. ❑BAR ' OLAND US " 1 1 IN %l A; Zoning p --1 Setbacks: N • -- S -- E -- W --- Parking stalls required for: .,1 1tt'',, i, t,(vyt°'a;Tenant Space Parking stalls provided: '',� i,'��gg��.,;;, r :,ar' 'Tenant Space ADDITIONAL PARKING STALLS REQUI * f"' ' .. PWD Approved'(Initials) Per letter /plans dated G"K K." 1rtw..iV:0&714 7'11... e` ii .i$4 6r. F., ..5,.14.4!,,14 45- ? N, 4.- s`cnt CITY'OF 1s APPP`I',1.CU JUN 11` 1987 BUILDING >DI`,/ISIC ! ALL PLU flI3 rN L "e ► re c_ LJIR BE t1Noga 5eP Rr91 '1R#4:1 S . rst:nd that the ►plan rovaf of { S t .Q er(Ors 'and bm:r isstons and app ans daes r+ot atho'ize the veoQapt of contractor'i . P a'tiopted b ode° or ordnance. ack owled�ed of approved p w 6_./54_17 capY 7l R 7�..�i�!/�rl.�• 3080 vas _e........ .... . I 1111 11111 J 111111[1111 111111111111 N°.18 7`...17 ICI IzfWiIT 1 elT 1T 7.�T TIT i `()IT i i , �R Z. 1 19 i IS i A 67411244 D C 6)7 / 'Tedex.7S N .73.7 '57' F / ciP;r7" mu* S TV 3_7 47 4 5IZE - 9, 480 4' /pcsz 4. ?Parfge,_ 4/9 47 Vow" 1.)L 1111111111111 11111,1111 I 1.1 15-4,1r/41:0.11e.),t) 7b Ktl-tt.s SPAc IjlIl 1'111'1 111 21, 4 2 ga ,t-fe-Te.a ;(.( crtirr:t-- /4t" .C.P) 7>Z44,262g2 7- 1.__ZIL_ACY._ V46:14g41_ ._.7 t."( F4ISTA5-- "in Crib/0o- jc..4 sr 11111 31 ii35-400Z- 77/1.5 /W)16,:r co 1 i i • . - - ' . It : _ • , • , . • .....:t 7 e44404VVIS . ..Raz77,1_ • ZM. 0$51• - i/.0(45__ZaL` 277 /-7004,42a2-2,4,e). 7.z vitt:7 •-• aistdtso-latsr. VW. I 11 I I 1 111 111 4 L. 77"444t)D44.:rvrir/11:54714:::: ;:::421;:fir'44---' ..i`Ii Ck.A2stote Sp:CZ.. Ai , .t12t,r-PW e4410vg .73." 1 astati II 111! 11 I!!!!! ! 6 --L - Sle:A **Ho *-5_gc„ragale_AA__ CP( APPDn"cp JUN 1 1 1987 hJ i BUILDING D'/SC i 1 / RECEIVED - CITY OF lUICWIIA PA 2 1987 mantilla/4V sot7gitti79. ___74709-77/4'096!4,._ flog. _1-)6e0.111.y. ‘.(Aeotarea--- La95.5fr