HomeMy WebLinkAboutPermit 0172 - Nielsen Residence - FillBUILDING PERMIT
CI OF TUKWILA BUILDING PUMIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N° 172
JOB ADDR E55
1602 Monster Rd. S.W. Renton, Wash.
DATE
Jan. 4, 1973
LEGAL
1 DESCR.
LOT NO. r_.
TRACT
(PnSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
Jacob Nielsen 1602 Monster Rd. S.W. Renton, 95055 Al. 5 -4615
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
Owner
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE N0.
a NSA
ENGINEER MAIL ADDRESS PHONE LICENSE N0.
N/A
LENDER MAIL ADDRESS BRANCH
e N/A
USE OF BUILDING
Land Fill
8 Class of work: • NEW ❑ ADDITION • ALTERATION ❑ REPAIR ❑ MOVE • REMOVE
than
9 Describe work: Fill Land adjacent to existing house and barns spraying more 200
feet from river.
10 Change of use from
Change of use to
11 Valuation of work: $Cubic yards of fill = $ ,000 I PLAN CHECK FEE
PERMIT FEE $ 102.00
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Piro Sprinklers
Required Oyes • No
APPLICATION ACCEPTED BY
1 /.
,`./+ `�L
PLANS CHECKED BY
APPR VED FOR ISSUANCE Y:
1 . e`
Ll� li i
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
i
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I$ COM-
MENCED.
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 S ATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE E FORMANCE OF CONSTRUCTION.
.
% Z• / 1 (l' f C._— /.. Z - z.
V
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER III, WNER•`DUI'LDCR)
SIGNATURE OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
OCCUPANCY PERMIT REQUIRED
_/)COP.Y4OFtSTATEMENT1WITIOCH ECK>"7O
M. J. R. WILLIAMS
/Th
KING COUNTY TREASURER
61 ..`. LOOR. KING COUNTY ADMINISTRATION OLDG.
SEATTLE. WASH. 98101
1972 24907A
REAL ESTATE TAX STATEMENT
KING COUNTY -STATE OF WASHINGTON
OF ALL. STATE. COUNTY. MUNICIPAL.
SCHOOL. AND ROAD TAXES
cl RTYi 5UB9ECA '('io `E.ORECLLOSURE `A`F,pT=ER F{ 1 ':_l/.E *40XRSWD,ELfI'!I;G1.UENT
LAND
6 =0
BUILDING
7,000
TOTAL
_5,O
LEVY RATE
35.76
GENERAL TAX
595.05
SPECIAL TAX
3.631 1
OUR TAX DOLLARS WILL BE DISTRIBUTED TO THE FOLLOWING TAX DISTRICTS :
STATE
COUNTY
01.10
PORT
CITY OR ROAD LIBRARY F RE DIST
133.1: 0.00 0.00
SCHOOL DISTRICT
�4�e6 24P.771 A.J3
SEWER & WATER OTHER
0.00
8.15
FIRST HALF MUST BE PAID BY APRIL 30.
OR ENTIRE TAX BECOMES DELINQUENT.
2ND HALF DELINQUENT AFTER OCT. 31.
TAX UNDER $10.00 MUST BE PAID IN FULL
INTEREST DUE ON DELINQUENT TAXES
PHONE 344 -3850 FOR INTEREST AMOUNTS.
NOTE
TAX AMOUNTS LISTED BELOW
NOT INCLUDED IN CURRENT TAX
ACCOUNT NUMBER
242304-9013-07
FULL
HA- LF
1972 BALANCE DUE
NAME AND ADDRESS
:IELS =1`i JtC1,2
_0 ; MONSTER RD SW
zENTON W4
98055
NOTICE
RETAIN TOP COPY FOR YOUR RECORDS
SEND 2ND COPY WITH REMITTANCE
YOUR CANCELLED CHECK WILL BE RECEIPT
NO RECEIPT RET.URNED. CHAP. 35 LAWS 1971.
MAKE NAME AND ADDRESS CHANGE ON 2ND COPY.
'XAMINE DESCRIPTION OF YOUR PROPERTY
CAREFULLY
LEGAL DESCRIPTION
CODE -rSECTTWPTRG-YEAR YEAR
24 -23 -04 9013 2340 24 23 04
POR GLS 8 & 10 LY WLY CF Cpl & ST
P R/W LY NWLY & LILY OF CO RD
KNOWN AS CHAS MONSTER RD 4 2 &
NELSON PL LY NLY OF 30N0 ISSUE
RD if 10 LY NELY OF HWY 'DEEDED
✓ +329 P 609 & NELY CF P S E RR
R/W LESS BEG ON C/L OF HWY 3 -0
H IS N 08 -52 -10 W 462.32 FT &
N 34 -46 -00 W 166.70 .FT FR VXN SD
C /L 41 TH S LN SO GL TH �! 63 -40 -00
W :LC SD C/L 49.72 FT T:4 N
'30 -55 -3C F 306.3'+ FT TH ;4
09 -05 -0C W TP "1LY MGN OF 30ND
ISSUE RC TH S 80 -55 -00 W 43.24 FT
1972
FULL TAX
xxxxxxxxxxxxx
HALF TAX
299.35 8
M41 R ELT1,NdbE[+i
PAVABL'EffNrAl f t itiN .O ,_ Btz
LOT
BLOCK--/- OMIT ROLL -_
TAX AMOUNT
INTEREST
HALF -H
OR
FULL -F
TOTAL AMOUNT
TOTAL INTEREST