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HomeMy WebLinkAboutPermit 2971 - Kistler Residence - NewCITY OF BUILDING PERMIT UKWIILA THIS ERMIT MUST BE P STED CONSPICUOUSLY ON BUILDING PERMIT NUMBER 2' 7 / Control Number 84 -235 Job Address 14741 59th P1. So. Tenant /Owner Dave Kistler Date of Issuffince /2.-3 - 01- Description of Work New Residence Legal Description ED Attached Lot 3 Property Owner Address 18617 Occidental Ave. So. Phone Dave Kistler Seattle, WA 98148 248 -0480 Engineer /Architect Address Phone Contractor Address 18617 Occidental Ave. So. Phone R -K Builders Seattle, WA 98148 248 -0480 Authorized Agent License No. Value of Work M -L RKBUI 233DS 87,480 Fire Protection Use Zone Type of App.=- Aeee�t so Sprinklers O Detectors R -1 Construction V -N Issued By: Size of Unit or Building Uses Sq.Ft. Occ. Occ. Load Fees Amt. Date Rec. 0 1st Fl. 1270 R-3 21 0 R3 NIA P.C. 125.00 7 -1 1748 ¢.52I7 2nd Fl. 1000 14 -1 '/Pa M -L Bldg. 397.00 /4-3 Garage 480 Demo. Wall Bd. Bond P.C. 133.00 /2 -3 45-87 Total 2750 _ Tot. 2750 - Tot. N/A Total 655.00 Date Planning 'Div. Special Conditions Approved for Issuance NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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 PROVIS NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTiRIUCTIQI O, T PERFORMANCE OF CONSTRUCTION. Sig r> ture`of Contractor or Authorized Agent Date,�,. 3 /,9S/ FINAL APPROVALS: INSPECTION RECORD - 433 -1845 Type Insp. Date Notes Setback Rebar Footing Fdtn. Slab Frame Wall Bd. Dept. Approvals Req'd Insp. Date Planning 'Div. Health Dept. Public Works Dept. Plumbing Electrical Cert.-Er-Occupancy Fire Dept. Date Bldg. Official Date. THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. 1 er\ .LOT 3 That portion of Lot 4of Interurban eattle as per plat. recorded in Volume 10 of Plats can Ad record to a Plats, 55, records of King County, Wash - ington, described as follows; Beginning at the Northwest corner of said Lot 4; thence 8 00 45' 31" W along the Westerly line of said Lot 4 as established by decree entered April 18, 1916 in King County Sup. erior Court Cause No. 113762, a distance of 300.82 feet to the Southerly lini of Lot 4 as established by decree entered March 5, 1919 in King . County Superior Court Cause 1o. 129565; thence S 89 01' 29" E along said Southerly line so established, 133.00 feet to the True Point of Beginning; thence continuing S.89 01'29" E ding said Southerly life so established, 62.00 feet; thence 1! 00 45' 31 "•E parallel with afore- laid Westerly line, 100.84 feet to the Southwesterly margin of 59th Place South; thence along the arc of a 230 foot radius curve-to the right, the radial bearing of which is it 31 59' 41" E, through •a centre] angle of 20i 46' 30 ", a distance of 83.40 feet; thence S. 00 .45' 31" W • parallel with aforesaid Westerly line of.Lot 4, 155.70 feet to the. • True Point of Beginning: ■ Together With an easement for utility purposes over, under, across and through that portion of the South 5 feet of j,ot 2 of the heretofore ,,described Short Plat;. •:And,Subject To an easement for drainage purposes'over, under,' across,' and through a strip.of.'lend 5 feet in width, lying 2.5 feet on each side of the relieving described centerline; Commencing at the• intersection of the Westerly line of' the aforedeecribed Lot 3 and the Southwesterly margin of 59th Place South; thence S 000 45' 31 W along said Westerly line, 30.0 feet to the True Point.of Beginning; thence 11 71° 45' 31" E, 21.7 feet to the Southwesterly margin of • said;t9th Place South and the terminus of this centerline description. o.• 0• 2' 5 ,, 4%t 1 vote r31.- Off ' 1°G-i l _�cA1 -0 '2 4 1' OF PERMIT UKWIILA THIS BUILDING ERMIT MUST BE P STED CONSPICUOUSLY ON BUILDING PERMIT NUMBER Control Number Job Address /4'7q/ b2' ANe . o 14"i41 1 59th P1. So. Tenant /Owner Dave Kistler Date of Issuance /' -3 - ti /- Description of Work Fees Legal Description Attached Residence Lot J Property Owner P.C. Address 18b1/ Occidental Ave. 50. Phone Dave Kistler !`4 "1 9 f,) Seattle, WA 98148 248 -0480 Engineer /Architect JOI.UU Address Phone Contractor Address J.8u1/ Occidental Ave. 5o. Phone R-K Uui l u: r:, Seattle, WA 98148 248-048 Authorized Agent License No. Value of Work Bond RK[3UI 233DS 87,480 Fire Protection u,. Use Zone Type of Appl•:-- Accepted.. ;By mil Sprinklers Dep Detectors R -1 Construction V -N _ Issued By;.:':',.Al Size of Unit or Buildins Uses S..Ft. Occ. Occ. Load Fees Amt. Date Rec. 1E011 st F l . 1270 EINIMENIMIIHMSEMI I /;. P.C. Footing /--J. 2nd Fl. UUU !`4 "1 9 f,) A ili 1 Bldg. JOI.UU r'? 3 .� -%.41 6araq <<dU Frame Demo. Bond Wall Bd. P.0. 1vJ.UU /2..j ,f, , Total 2750 Tot. 2750 41 .' Tot. ■ Tota 6bb.U0 Special Conditions Type Insp. Date Notes Setback AI /34%3 Rebar /z /j,3 Footing ?1 ' /* Fdtn. ) Approved for Issuance ." NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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 STATE OR LOCAL LAW REGULATING CONST,RUCTIQN OR T ,iE PERFORMANCE OF CONSTRUCTION. / v jJ I !J� Sign ture of Contractor or Authorized Agent. Date .<. cf... 3 ! f P.1,/ INSPECTION RECORD - 433 -1845 Type Insp. Date Notes Setback AI /34%3 Rebar /z /j,3 Footing ?1 ' /* Fdtn. Slab Frame Wall Bd. Dept. Approvals Req'd Insp. Date Planning Div. Health Dept. Public Works Dept. Plumbing Electrical Cert. of Occupancy FINAL APPROVALS: Fire Dept. Date Bldg. Official Date. THESE PREMISES SHALL NOT BE OCCUPIED UNTIL ALL APPROVALS HAVE BEEN SIGNED. CPS No. 1 CITY OF TUKWILA %tiding Otvision 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspecti n Site Address // ?L// 59 ace_: Requestor Special Instructions INSPECT•jN RECORD PERMIT # a 9 7/ Date 0f /Q? Date Wanted a.m. p.m. Project iri s r /ems Phone # Inspection Results /Comments: J ..164Z•4 Gua1l�- Inspector .g/ Date g /9/0 INSPECTION REQUEST Permit # gg.% 1 Date 06 Tenant ki,5/ Time %03 Address: ' /4/77/ Date Wanted: i iiq . p.m. Contr. or Owner • k-! tOi"ta) Type of Inspection r , 7.G 11 it wozP/U INSPECTION REQUEST Permit # 297/ Date /z%l 0 Tenant Time ?:l 19, Address: Date Wanted: 42/00007/V91 a.m. p.m. Contr. or Owner. Type of Inspection Taken By INSPECTION REQUEST Permit # Q ! Date r2...—/ Tenant Time 4,y. Address: / 7 W- 4"/ Date Wanted: I-2, -- / Contr. or Owner Type of Inspection Taken By V INSPECTION REQUEST Permit # -2(-72 Date t2-'%% Tepant I "' j4 Pk Time g! qo Address //7/7q/ 3q pgY. c,. Date Wanted: /(21M-- ,a. . p.m. Contr. or Owner /' /7 .17, / Type of Inspection Req. By Taken By 4/424 d. ? 7 / 10.1. LPae Ir eh• �% - �Q:�owa ,� .2 �' -0vyo, - .6e -1-Gt.eiji- aW `O /86 r4 4IP ',./iZ/ -6 ,eAcM r ',2 4 �, I �jJ 14. Oh. /e�,e :it a . - � 7 ,t?6 6(4.4 a.,4 ,44:4,e9.v-4. e&azee -oez . 4er �e4V-a .� .41,aft24, -tergte;te;ef' -ev•eif ok/ fleie- t e&$--yele: P ,vt14.4 .tee e t 4 A2, - YQ.1*/ ,� 4, - 7//F7 *1. ,t,i,tt) G14 .dA'0 .4" NJ .4 14 -/Xe. ,/l)ert(-12P itt&C Af6 ' 1 - eraide -‘;t0 10/,,,a_te,i �i /?5,7. COXe' .,611,6;a. 2.4t -zY ie=e'4 ,‘<)e.'eo kta e(A4.4.1, _evit(77 CITY OF TUKWILA Buildipg Division 6200.Southceater Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection /24 Site Address /i4N 6? Requestor t4/) Special Insf ructions Yt INSPECTI-.4 RECORD PERMIT # ,9797/ Date /(/ /3 /r Date Wanted / //3 /f Project 7-ttel,2-��`-ei Phone # ,.x.'30 a.m. Inspection Results /Comments: .1.. • (. -.i 19'C1 e Cat .dCiLL rd 041 ,r11 -tti .o Inspector d r` r���f Date l ///3/j7 CITY 6f TUKWILA Building Division 62Q0 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection 72 Site Address /X/7 Requestor .� Special Instructions /- K' wee. INSPECTION RECORD /o57t PERMIT # Date Date anted Project OE.- e /d/es)hone # - ��}- a.m. rpn Inspection Results /Comments: e,2 &u.g1,417 yam`. Inspector Date /7/ 7 Pd • CITY OF TUKWILA Building Division Tukwila,,tWashington Boulevard 8188 '(206) 433 -1849 Type of Inspection Site Address /7.9j Requestoru� j�Ce'�YC/1 INSPECTION RECORD PERMIT. # a 27/ Date • /O/,2' /fit Special Instructions Date Wanted Project Al. s Phone # Inspection Results /Comments; Inspector Date /i9/79 s /C, CITY OF TUKWILA Building Division. 6200 Southcenter Blvd: ens Tukwila, WA 08188 • 433 -1845 loos ; Permit No. Date � $� Job Address % 4/79/ 5' `' Vq • : CORRECTION NOTICE The following items are found to be in violation of Ordina a and shall be corrected: • Signed CITY OF:TUKWILA Building Division 6200 Soulhcentor Blvd. Tukwila, WA 98188 433.1845 loOS Permit No.A / dd ,./ Date /A'"'/7 Job Address 14 74/ • 5.; CORRECTION NOTICE The following items are found to be in violation of Ordinance and shall be corrected. INSPECTION REQUEST Perini t 977/ Date Tenant Time Address: /,5/74/ - Date Wanted: .9. ,13 a.m: Contr. or Owner Type of Inspection i�-� t CITY OF TUKWILA BUILDING PERMIT INSP —CTION RECORD POST AT OR NEAR FSONT OF BUILDING .PROTECT :ROM WEATHER City of Tukwila Bt'lding Division 433 -1845 JOB ADDRESS /6'74/ SY WORK TO BE DONE_A✓- OWNER 0D4-t-- CONTRACTOR DATE ISSUED B.P. f A%7/ Control # 514/ Date Issued /2-3 —SLR TYPE OCCUPANCY �-< 1Ij SPECIAL CONDITIONS Inspector must sign all spaces pertaining to this job. TYPE DATE INSP. NOTES Grading (Bldg. 433 -1845) M/f� Setback (Bldg. 433-1845) 1 ;113 v v Rebar /Footing /Found. (Bldg. 433 -1845) /a/h Slab (Bldg. 433 -1845) Grout (Bldg. 433 -1845) Frame (Bldg. 433 -1845) Roofing (Bldg. 433 -1845) Insulation (Bldg. 433 -1845) Mechanical (Bldg. 433 -1845) Wall Board (Bldg. 433 -1845) Utilities Water /Sewer /Drainage (Shops 433 -1860) Parking (Plug. 433 -1845) Landscape (Plug. 433 -1845) Street Use Permits (PWD 433 -1850) Fire (Fire 433 -1859) FINAL.:. .. (Bldg. 433- 1840 :_ ---. 1 CITY OF TUKWILA Central Permit System Control No. 66/-035 Permit No. ;407/ FINAL APPROVAL FORM TO: ❑ Building ❑ Planning JWPublic Works Cl Fire Dept. ❑ Police ❑ Parks/Recreation Project Name , /() (& ) Address /-/7y/ 59 ,2/ Type of Permit(s) This project is nearing completion. Please investigate your area of responsibility and indicate below either your final approval or necessary corrections. If no response is received within one week, it will be assumed that the project is of no concern to your department and a certificate of occupancy may be issued. This project is NOT approved by this department; the following corrections are necessary: () () ( () ()• () () () ( ) () () () Authorized Signature Date % This project is_approved by -this department: Authoriiedt-ignatdire Date CPS Form 3 /7 / / ,"11, . 2 9 7 / i1 . e Ir...;. .. J (4eitLie. £+- - ge-ov80. ,, Q. ,XX.e« Aa:eLve-;. Ar i-e-Z1/4- ak&i /4007.6 /-'-f fm. 2A , f _40. r V ����' "� . fYiW�. . %,/ Ci�/�� .,AteV' K� Q 1 0 , i&. Xie4 , fr_ e _ • ..psi/ T . 44; Cr `;' J /t;l6 a-nek 4, ,aeieeP,V eetdee fre,r- -A,zerf"-eee ee-cta. ,a‘tit,a ,yne-ner, ,eatt, if-('41.;-1.42e+ -zott,a bZit 4,4(2.1,,,..e.,P 4.6 -ter,t6;te-4. 1.ept ee-*.yArel _if 07v7414,&0 Yete Aert 4,te -e>.` 7r.ce,44 ,ev-e GPI -¢ -4 a-n:c • '0&.1.. a. ., .>,o -ms& -v, a. Ce:e. /01 7/7/s17 J 7e,e4k) ito Aat, Sl ad . 60e:el ,.e,keAk 49. d ihtti/L-ie.,6 re TL-01)?A-4-Aciz- 00.0' • 0•0• •DID • • ••N Vs• -'uz z moo Wr ..• 61•- ■ u 0 as 3.33.3 sec H U 0 o' It in 0 1 r • 3.• . 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T- 22 -8 -42 m r m 1 O• .-• N ■ u i3 $ W la a 4. H (L^ 0 • DESIGNED ST: LJ LANNI( JENKINS cS 4 a • co in 0 co Ol 00 dv 1 rid, PA s N O Pa Z 1 z1 11111 lip! 1 'slat 111 E(Ifni!! a u ` • • W r H 1 LL LL i 33 a V1nP a a14 .:qnq•- p {$6�a •�� O1. OOo•j,. 11 sfttl2ti'2 a r. Al J N N 1 7 M•-. a .- CW c G u 0 /- :� 7M1 11 11 M W unf w r a - I1ru 11.1 Of W o - V I C ■ .- 2 1 7 .• O 0 :/1 •"• LLa a a • ¢JJ.2 2 in 2 a. N a in M1 0 ▪ M 2. -� T c i i J• M .O 4— r 62 N Jp^ �t G is a•-• J 2 oJ . H •a O to ea • .- W •• 1- J C C U f f C : W • 0 LL J J 0 C . C J n f o LP 0 0 W 2 t • N • •. W u 4- a 0 /- a Ca o• to n • J •• W T. x • A a an LL .O 0 H 0 N E — N as +N H 4 N vl .0 °O M O 4t ba mar N 3 Oa; g 0 A.' CC fn. n ¢ LL ▪ i N 1• a 1 M•M1 NN W O v G G G X N C2 r . LL r aa' .. 1 M• MNN W 222022 II It 0 v R• nl C . . • . C N 2 o M1 /1 NN A 40 u.00CC 4.2 c u'OIn !!6:7 rt a ' v , a r ± 2 W• O • • r • N 00 4-- •• 'V 0 • • it • • as Ca ra W N •7 [ C o C C 2 M•M•N /-4- • • • • 4 O c a' i a 7 0 3▪ 3... 00 0 o a v • 00 N • • IC 0 2. • 42. (241 N 2 N •• J 0 -7 a a ¢ aoa a W M M n N N N •V Ell %�� ruulItr IM 1111 111111141 1111111111111111111 l EU • EIU r �Q 411.5, 1. RECEIVED CITY OF TUKWI A SEP i9ez; I tJ!LGKsi(, 1;t ' . • • • • • I IL L LI1...JL -- - - • -'-` ■•••••11, ■ • • •-• .• 1. •: • ^ •-•-• • •- • • N.QJ -1-.. q! .0 : VitUz )I-46 • ` oo. VS∎ SN aav •S IMMA EycAPr C r Cor�P erA 032141. to) i Cd • RECE!'Jr 0 • CITY OF TUK WILD SEP 1 • . E4UILL.uN&. ULri. -__VVP.S1" • . n• ELEVA77. • 1 I 1 1 1 •1I 0 -T j '2et 0 u•� 4. 12 � I I .• fhk 1 RECEM:D CITY OF TUKWILA SEP 1 .1 9b-; (-7-) Ceto .\-tkz%er f ' c IN • F goo 3 N '2 4:2J:. r 4- i r 1� 1 it • 0 RECEIVED CITY OF TU1W ILA S1 ij 1 '6 1`3b"., tVLA 17a I _1J • -4 12io' J 4" Cdt4G. otot N8 w / riot Hr. L:' rol TJ,.. 6_2_ E4rV PI 141- e Gor4G .. 436"8 o /eG!Nr, I2�- Ov TIE Tee hr. ice- /� 'ir COST Cormtctler%I -IL cF *14US 192. Cceo""." ALtEcIMATE 2xt. 3045 %lei"'4146 r � e cc- 1 ad-o" iv" Pot IIrP- /11(;.e-,(1 Elvb 6 / • I. fp IT Conto.Ctle"S 4 4 a vAlt.s treo,.0)44 Li' 0cto$44r6 --. 2 7 C745 - i 4 460ifie Aru.Kot RECEIVED CITY OF TUKWILA SE P 1 EUILLhN CJ LOT 3 That portion of recorded in Volume ington, described said Lot k; thence M as established b erior Court Cause line of Lot 4 as e County Superior Co said Southerly lin . Beginning; thence so established, 62 laid Westerly line Place South; then right, the radial ' angle of 20, 46' 3 parallel with afor True Point of Begi Together With an e through that porti described Short P1 And Subject To an ea and throusb a strip side of the followii intersection of the the.Southvesterly m+ along said Westerly thence N 71° 45' 31' said 59th Place Sou. aZ ek �N! e 1 1 • - ar_._ _ _ _ _ 1 1 1 1 41.(0 TEO- SEW E►R- GZ , Op LOT 3 That portion of Lot 4 of Interurban Addition recorded in Volume.10 of Plats, passe 55, records ‘ington, described , as follows; Beginning at the said Lot 4; thence S 00 45' 31" W along the West 4' al established by decree entered April 18, 1916 erior Court Cause No. 113762, a distance of 300.E line Of Lot 4 as established by decree entered M County Superior Court Cause. No. 129565; thence said Southerly line so established, 133.00 feet t Beginning; thence continuing 8 89 01' 29" E el_ to. established, 62.00 feet; thence N 00 45' 31" Said Westerly line, 100.84 feet to the Southweste Place South; thence along the arc of a 230 foot r right, the radial bearing of which is h 31 59' angle of 20/ 46' 30 ", a distance of 83.40 feet; parallel with aforesaid Westerly line of Lot 4, True Point of Beginning: • 14 3. Together.Vtth in easement for utility purposes ov+ through that portion of the South 5 feet of jot 2 described Short Plat; And Subject To an easement for drainage purposes' o. and through • strip of land 5 feet in width, lying side of the following described centerline; Comore. intersection of the Westerly line of the'aforedesc: W the Southwesterly margin of 59th Place South; the, along said Westerly line, 30.0 feet to the True Po O thence N 719 45' 31" E, 21.7 feet to the Southwest said,59th Place South and the terminus of this cen z o. O .° 42>' /26010 '1 I°!- o r 1°1- _ecAt.- 'o.a' = 1' r plat Wash- er of id Lot Sup 'outherly. . King long t of y line afore - 9th the central 31" W he Ise 'and 'ore AI X/o f%Ec+bER.s /3Y4 ( W y v E \kTcz. 6o-cr a.- s 1/ax 8 (ja�ey, C�% d e.v 4 sO cStw tlain �tion. 34' rt T4G. tac, _R. t3 e&3 RECEIVED CITY OF TUKWILA SEP 1 t.) 19b,1 BUIL1)IN( 04P i . WI LA 1908 City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433 -1800 Gary L. VanDusen, Mayor Mr. Dave Kistler 18617 Occidental. Seattle, WA 98148 Dear Mr. Kistler: Subject: Building Permit No.JIssued for a New Single - Family Residence at 14741 - 59th Place South, Tukwila, WA 98188 Pursuant to Chapter 29, Section 2903(b) of the 1982 Uniform Building Code (UBC), under which Permit No. 2971 was issued, it is required that "Any person making or causing an excavation to be made to a depth of 12 feet or less below the grade shall protect the excavation so that the soil of ad- joining property will not cave in or settle." To comply with the requirements of Section 2903(b) of the 1982 UBC, the City of Tukwila Building Department will require that a retaining wall be built at the cut slope along your west property line; or that a Soils Engineering Report, prepared by a soils engineer licensed in the State of. Washington and bearing his certification seal, be submitted to indicate that the soil of adjoining property will not cave in or settle because of the cut slope on your property. This will have to be brought into compliance prior to final approval o your project and prior to any occupancy of this residence. If you have any questions, please call me at 433 -1851. Sincgrely, October 10, 1986 Cony-)1 Number APPLICATION FOR PERMIT BUILDING DEPARTMENT CITY of TUKWILA 6200 SOUTHCENTER BOULEVARD • TUKWILA, WASHINGTON 98188 433.1849 DATE JILL. \` 7 . ' 19 r] 4 I • • JOB ADDRESS LEGAL DESCR. LOT NO. BLOCK TRACT ❑ SEE ATTACHED SHEET OWNER 1.) , ! t .j4 ._ CIA i PHONE , ` per, �t ADDRESS 1 pfr,1 f e cr 1 (' to tt, �1 (r `l''1c% c�" `1"i .. C.4 �� ZIP t� � r` CONTRACTOR vs....., 1 - \ PHONE ~ : L.t t3 z.- {4 s ADDRESS S(.5 14 21P LICENSE NO L[, jT tJ .c. 1�-•� ` ��'� S ST NO. BUILDING USE t f r C C::.,:::.4 t.. C': 1,1 i ':. c ".3' t . ,t'h (t'.. ..... -h. �'*+a, ,, 1 a � , ^. �r'"^ • TENANT `e...� 430,,. `3", R <`. i' 1 L''' f''• C S OF WORK t LA ZIEW ❑ ADDITION • . ❑ REMODEL ❑ REPAIR ❑ OTHER (Specify) • BLDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE # OF STORES TOTAL S.F. ,� AL • 10 f� °� t /b 4/76 BOND �r • -Z _ , A . K '"t '6, 1r. , NAME OF APPLICANT (PLEASE PRINT) .LJCt4. I,.J ADDRESS /ijCa1 :T -c-Y.. 1 r ,f, >n4 "tq i I \ -0(1' t,"'Ar`s. 1PHONE C(AZ "` {.ik''\ T I CERTIFY THAT THE INFORMATION FURNISHED BY ME I TRU, AN CORREC AND THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET. ) SIG ATURE`OF APPLICANT{ DO NOT WRITE BELOW THIS LINE TYPE CONST. OCC. GROUP OCC. LOAD USE ZONE AUTO SPRINKLERS REQ. I DETECTOR ----- A/ 8-3 ), ,9_ ❑YES 0 N [] YES ❑NO PLAN RVW. PLANS: SENT RETURNED APPROVED FEE _ DISTRIB. BUILDING 3 9 -at PLAN RVW. as / a j , 0-0 FIRE DEPT. DEMOLITION PLANNING/ SEPA BOND OTHER PUBLIC WKS. / `' 4 AL Bldg, .Dive COMMENTS: Amount Date Paid Receipt 41 BP: ..53 o / 3 ... : 7 PC: VAll TMAIIIIII