HomeMy WebLinkAboutPermit 0175 - Ferguson - AMCI - RemodelBUILDING PERMIT
„CIT( OF TUKWILA BUILDING FIL:MIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N9. 1. 7 5
JOE AODR ESS
227 Andover Park East
DATE
1/12/73
LEGAL
1DESCR'
LOT NO.
ELK
3
TRACT
(JSEE ATTACHED SHEET)
Andover Industrial Park V. 78, Pg. 6 & 7
OWNER MAIL ADDRESS ZIP PHONE
2 Hugh S. and Jans D. Ferguson 7433 5th So. Ro. 7 -3810
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO,
A•M•C•I• 227 Andover Pk East Ch. 6 -2575
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE. LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
Office Space for A.M.C.I
8 Class of work: • NEW ❑ ADDITION q ALTERATION ❑ REPAIR ❑ MOVE • REMOVE
9 Describe work: Remodel existing Bldg.
10 Change of use from
Change of use to
11 Valuation of work: $ 1, 500.00
PLAN CHECK FEE 7.50
PERMIT FEE 15.00
SPECIAL CONDITIONS:
Typo of
Const. V -1Hr.
Occupancy
Group F
Division 2
Size of Bldg.
(Total) Sq. Ft.868
No. of
Stories 1
Max.
Occ. Load 9
Fire
Zone III
Use
Zone C —m
Fire Sprinklers
Requlred Eyes ■No
APPLICATION ACCEPTED BY:
PLANS DBY:
APP
`
.VED SU
C;
13 :
..�
No of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
_.me' N • TIC `-
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
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I COM-
MENCED,
I HEREBY CERTIFY THAT 1 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.
A
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SI ATURE Or OWNER III OWNER BUILDER)
FINAL
. IONATURC OR AUTHORIZED AGENT (DATE)
PLAN CHECK VALIDATION
PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMI
M.O. CASH PERMIT VALIDATION
II OCCUPANCY PERMIT REQUIRED
M.O. CASH
BUILDING PERMIT
OF TUKWILA BUILDING I1,..RMIT
14475. 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
JOS A 0 O E 5 0
cam—, (%.r,OJL -ice P40,_< 1 A s�r-
DATE p
JA 13 1 19 73.
LEGAL
1 OESCR.
LOT NO.
SLR
7
�%
TRACT
yn. (QSEL ATTACHED SHEET) / �]
: JO.i.$70 I it c.. 1 il(Z)� V . 1 Q Pit 6 . /. •
OWNER MAIL ADDRESS ZIP PHONIC
2 VV.) c* la S. P'1 SAS .. 4- ..ise6.3S(NJ
CONTRACTOR MAIL ADDRESS PHONE 5o*JJG4LICENSE N0•
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 .`
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
,■
LENDER MAIL ADDRESS BRANCH
6,_
USE 01' BUILDING
7
Of: C- 1e SPA'e 1 c IA'. in , C .
8 Class of work: ❑ NEW • ADDITION (ALTERATION ❑ REPAIR • MOVE • REMOVE
9 Describe work: �`�_� 6t) L;Y.tS`t� -11V t, U(... v C..
10 Change of use from
Change of use to .
11 Valuation of work: $
I5 • ��
PLAN CHECK FEE
�(9
� -
PERMIT FEE
SPECIAL CONDITIONS:
Typo of- �— /}-- \
Const. i—' Iv
Occupancy
Occupancy
Group
Division
Size of Bldg. �r c Jy
(Total) Sq, Ft.
No. of
Stories I
Max. p
Occ. Load
' C
Fire
Zone e �
Use ^
Zone • r " `
Fire Sprinkler
Required No
APPLICATION ACCEPTED BY
'l `� _
PLANS CHECKED eV: •
APPROVED FOR ISSUANCE BY:
`\\ ` /y�
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
NOTICE ,-___J I
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 IS' COM-
MENCED.
1 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
GANATr141CTION OR TNN PiRMORMANCt OF CONSTRUCTION,
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
,
FOUNDATION
FRAMING
11 • •ATURE OF OWNER III OWNER GUILDER)
FINAL
... -Al. air, KIM — %
•
SIGNATURE OR AUTHORIZED AGENT IDATC)
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