HomeMy WebLinkAboutPermit 5764 - Bubnick Residence - Mobile Homeau1L -10111INI rcruvuu
(POST PLANS
IN A CONSPICUOUS LOCATION)
CITY OF TUKWILA
Department of Community Development • Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING
PERMIT NO. 5.--7
DATE ISSUED:
10-- 3 — "61
I AD S 13382 48 Av S
PROJECT NAME/TENANT ASSESSOR ACCOUNT N 54/46P7 - 0091 (• ce.3
Tereza A. Bubnick 3o ,app- 009b
TYPE OF 0-New Building Li-Addition U Tenant Improvement (commercial) U Demolition (building) 8 Grading/Fill
WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) ap Other Mobi 1p fl mP
DESCRIBE WORK TO BE DONE:
FEES
s DESCRIPTION
AMOUNT
-RCPT •
DATE '
BUILDING PERMIT FEE
!PHONE 93
_1342
ADDRESS Auburt LA
PLAN CHECK FEE
ZIP 98002
10 -11 -R9
. -
WA. ST. CONTRACTORS LICENSE # HORIZCS1321_A
ARCHITECT N/A
BUILDING SURCHARGE
ADDRESS
ZIP
ENERGY SURCHARGE
OTHER: Inspection
3f).Qf)
x5517
I Or3- $t
TOTAL •
30.00
'.► „ :• -:
PROJECT INFORMATION
SUI r
VALU
0
STRU
11ON -
Mobile Home Set -up.
PROPERTY OWNER Peter Gatto
'PHONE 242 -3892
ADDRESS 13404 48th Avenue South, Tukwila, WA
ZIP 98168
CONTRACTOR Horizon Construction
!PHONE 93
_1342
ADDRESS Auburt LA
EXP. DATE
ZIP 98002
10 -11 -R9
. -
WA. ST. CONTRACTORS LICENSE # HORIZCS1321_A
ARCHITECT N/A
PHONE
ADDRESS
ZIP
CODE COMPLIANCE
TYPE OF CONSTRUCTION: UBC EDITION (year) 88
SETBACKS: N _ S -
E_-
FIRE PROTECTION:(�Sprinklera 0 Detectors Q N/A
UTILITY PERMITS REQUIRED
(through
AO—ugh
Yes Q N o Public wor tsf
ZONING: R -!BAR /LAND USE CONDITIONSDYes si No
DATE: 10 3- I)
PRINT NAME: AL,y (Pe- /J, 2, rJ'
CONDITIONS (other than those noted on or attached to permit/plans):
I
APPROVED FOR BUILDING
ISSUANCE BY: ftP OFFICIAL
DATE:
/O —:3--?
I hereby certify that I have read and i ined this permit and know the same to be true and correct. All provisions
of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of
this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or the performance or work. I am authorized to sign for and obtain this building permit.
SIGNATURE .-,-w
DATE: 10 3- I)
PRINT NAME: AL,y (Pe- /J, 2, rJ'
COMPANY: /4,-,-,i r�1 c,.r,., 1'11 06%0: /4o,-,., e---s.:
This permit shall become null and void if the work is not commenced within 180 days from the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection.
CERTIFICATE OF
OCCUPANCY NO.
DATE ISSUED:
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