HomeMy WebLinkAboutPermit 5547 - Mann Residence - Pre-Move InspectionCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 - 04-9 BUILDING PERMIT
Work to be done Pre -move Inspection
Site Address 3404 S 126th St
Building Use Residence
Property Owner Sharon Mann
Address 14222 57th Ave. So., Seattle, WA
PERMIT # 5547
Control # 89-031
Suite # Tenant Mann, Sharon
Assessors Account # N/A
Phone # 241 -2100
Zip 98168
Phone #
Zip
Contractor N/A
Address N/A
FOR BUILDING PERMIT ONLY
Sq. Ft.
Office
Storage/ orehuse
M o
Retail
Other
Occ.
Load
1st F1.
2nd F1.
3rd Fl.
Total
Fire Protection: ❑ Sprinklers [[ Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd Fl. $
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 #2---a-q $ 25.00
Receipt # $
$ 25.00
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 BECUMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 SUSPENDED OR
ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK l5 COMMENCED.
1 HEREBY CERTIFY THAT,.1,.HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TOE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCES
GOVERNING THIS TYPE OF•WORK-w LL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL. THE PROV.SIGNS + 9NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE ,PERFORMANCE OF CONSTRUCTION.
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._ - - --
LICENSED CONTRACTORS DECLARATION
I 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
( ) 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.
( ) 1, 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 - (84g BUILDING PERMIT
Work to be done Pre -move Inspection
Site Address 3404 S 126th St
Building Use Residence
Property Owner Sharon Mann
Address 14222 57th Ave. S.o._. Seattle,_ WA
PERMIT # L-5U7
Control # 89 -031
Suite # Tenant Mann, Sharon
Assessors Account # N/A
Phone # 241 -2100
Zip 98168
Phone #
Contractor N/A
Address N/A
FOR BUILDING PERMIT ONLY
An n roved far i s suancp
'; Zip
1'
hate: � - -
/
Sq. Ft.
St .
Office Storage/
Warehouse
Retail
Other
Occ.
Load
2nd Fl.
3rd F1.
Total
Fire Protection: [] Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd F1. S
sq. ft. @ other $
sq. ft. @ other S
Total Valuation of Construction $
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other Inspection
Other
TOTAL
Receipt # $
Receipt # S
Receipt # S
Receipt #t $
Receipt #)1 $ 25.00
Receipt # S
saws was-velmacca:scoa
$ 25.00
FUR SIGN PERMIT ONLY
❑ Permanent 0 Temporary
❑ Single Face 0 Double Face [J 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
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK I5 SUSPENOEO OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
/2
I HEREBY CERTIFY THAT ,1 (AZE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF/WOR 0. LIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CAACEL,"THE PR! SIONS AMY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Date
LICENSED CONTRACTORS DECLARATION
I 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 rages 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.
Oats
Owner (signature)