HomeMy WebLinkAboutPermit 0260 - Frederick & NelsonBUILDING PERMIT
CIT'JF TUKWILA BUILDING PLMIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING . .
PERMIT NO.
N9 260
JOB ADDRESS
6810 South 180th St.
DATE
7/9/73
LEGAL
1 DESCR.
LOT NO.
BLK
TRACT
I JSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Frederick and Nelson 5th & Pine Seattle, Wa. 98101 682 -5500
CONTRACTOR MAIL ADDRESS PHONEMa. 3- /.2).5 LICENSE NO.
3 Eian Construction Co., Inc. 1325 — 4th Ave. Seattle 4{ �{ 223 -01 -986
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
Frederick and Nelson
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
C - Sr /S• ost - c ik
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: ❑ NEW ❑ ADDITION El ALTERATION • REPAIR • MOVE • REMOVE
9 Describe work:
4 0 .v-1-^ G : / ..... . C.
1
10 Change of use from
Change of use to
11 Valuation of work: $ 1, 000 • 1
PLAN CHECK FEE 5.00
PERMIT FEE 10.00
SPECIAL CONDITIONS:
KL b
Typo of talc.
Const. —
Occupancy
Group
Division L
'r'M / t /0p5j Frvt Aldo
. ;rub . P r110 1.4' r k Ii.. ► 'T /.i
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
wok-- Y}rC m-7/-4
1�� !u-�
Fire
Use � fl
Zone C� /V {
Fire Sprinkler
Required Yes • NO
�-� 1
ZOnO .., 1 t 1 I.
APPLICATION ACCEPTED BY
PLANS CHECKED BV.
APPROVED FOR I .UA 1 E BY:
• —A
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
I Uncovered
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 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.
Special Approvals
Required
Not Required
VOA
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER (IF OWNER BUILDER)
_`:ya -G�� 7 /e —3
5 GNATUR OR AUTHORIZED AGENT (DATE)
WHEN PR PERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION
M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
M.O. CASH
x3RILDING PERMIT
CITY OF TUKWILA BUILDING PERMIT
14475 • 59tht Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
JOG ADDRESS
'/') 5v v7,Q / e c� :24- ,-- ,
DATE
i % '773
LEGAL
1 PESCR.
LOT NO.
ILK
TRACT
(EDSEC ATTACHED SHEET)
OWNER , MAIL ADDRESS ZIP PHONE
i t . s ,.47-7•1..F.-- 5 /6 / IG 8, --3 c.'
``Ly PI
2 Fit' A)1 c A' y-- 011 E'L� o I - S vs
CONTRACTOR MAIL ADORERS PHONE LICENSE NO.
■ `
3 474 'V e CI k, Oa »ri c , / aa J y1(175 ,5:5A7/4A -/1,41-1-1/(13--. 7..23 -6t, 986
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
rNOIIIEER / MAIL ADDRESS PHONE LICENSE N0.
5 .
LENDER MAIL ADDRESS BRANCH
0
uGE or BUILDING
7 ,
8 Class of work: • NEW • ADDITION ALTERATION ❑ REPAIR • MOVE ❑ REMOVE
9 Describe work:
•
10 Change of use from
Change of use to
11 Valuation of work: $ ''// (;} '.' ^�
1 PLAN CHECK FEE
'°
PERMIT FEE
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required • yes ❑NO
APPLICATION ACCEPTED BY:
<(.■No.
PLANS CHECKED BY:
APPROVED FOR ISSUANCE BY
01
No. of Units
OFFSTREET PARKING
Covered
SPACES:
Uncovorod
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
TIIIS 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.
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
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
Required
Not Required
Approvod
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
S IONATU RC OF OWNER III OWNER BUILDER)
XEI
SI NATURE OR AUTHOR: CD ADEN
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION , CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
14