HomeMy WebLinkAboutPermit 636 - Blacke Moffitt - SignsThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
Black Moffitt
1160 Saxon Drive
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page Code Exemption = 8rlef E plainatoty Desclriptim Statuteftle
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
3
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
BUILDING
CI4 OF TUKWILA BUILDING PERMIT PERMIT No.
BUMDING PERIM TUMMA, WASHMGTON 636
OWNER IADDRE88 I I FHONE DATE
BUILDER IADDREB/
Blacke Moffitt and travel building
signs
116 saxton drive
Image National
ARCHITECT, d (ADDRESS I
JOB I STREET NUMBER
ADDRESS J /—r
USE ZONE LEGAL
1 L07 SIZE LOT AR[A
IF
w+
LOT BLOCK
YARDS MAIN /ET BACK SIDE YARD REAR YARD NEAREST ACCESSORY SET BACK /ID! YARD REAR YARD NEAREST
DISTANCETO BUILDING BUILDING BUILDING BUILDING
PROPERTY LINES
CLASS OF WORK
MAIN w1OTH DEPTH AREA TYPE OF CONSTRUCTION
BUILDING FT. X FT. so. Fr.
SIZE
OF ACCESSORY WIDTH DEPTH AREA
BUILDING BUILDING
PT. X X FT. Sq, FT.
8Q. FT.
EXISTING BUILDING AREA-----------
aq. FT,
TOTAL AREA OCCUPIED LOT AREA LOT AREA OCCUPIED py
LOT COVERAGE /Q
Sq. FT, /q. FT,
EXTERIOR
FINISH
OCCUPANCY TO BE USED HOW ■ASEMENT
AS HEATED SIZE /q. FT.
ED ROOMS I TOTAL I ROOMS IBATHS I LIVING I COMBO I DEN I KITCHEN (NOOK I NOOK I GARAGE DET.
VALUATION OF HOUSE GARAGE S HOUSE ATT, GARAGE f OTHER 5
ALLIMPROVEMENTS
FOUNDATION OK I FRAMING OK I FINAL INSPECTION
REMARKS; DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in writing on Permit Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector governing .building con-
struction.
I further Brant to the building official or his authorized rop-
rosentative permission to enter upon said building, structure Or
promises to perform any duty imposed upon him by the Building OWNE L' r BY
Code.
PERMIT FEES. (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE OTHER MISC.
HOUSES i RARAGE S BUILDINGS i FEES
BOND Nf TOTAL FEES i+G.i! R 9 /i! iC Q� �B'yRMIT DATF
NOTICE. THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
APPLICATIO14 FOR BUILDING F aT
CITY OF TUI WELA
14475 59th Ave. South
Tukwila, Washington 9UJ67
..t,APPLICATION IS HERMY 1 Lll7I; TO DO THC FOLLOWING WORK:
VALUE OF CONSTRUCTION �r) o
STREET ADDRESS LOT I3TMK
DIVISION OR IEGAL DESCRIPTION
NAME OF 06 TNF,It YNONE
ADDRESS /1 .I, �lA�c._eYr
^�laz ao City
MAE OF CONTRACTOR
ADDRESS 14,
S� city State
CONTRACTORS LIMME N0.,
BUSII LICENSE NO. KIM M ZOVE
PLOT PLAN: Sketch :Lot plan with property line dimensions and property area.,
include existing structures and /or additions, and measurements for right side
yard, left side yard, front yard, rear yard, height of structure, building size
distance from accessory buildings to main building and their location.
The above is a correct statement,
and ordinances as well as seeing
DATE I ,1 0 -'*1A
and I agree to comply with all applicable
that n7 are licensed by the
4� GEMRAL
codes
City.
GNATURE CONTR:MOR OR MER
OF'F'ICIAL USE ONLY:
PE 11IT NO. BUILDING ProMMIT FEEvT) d
PIM CHL''CK FFT: (deposit)-'t)
TOTAL
BUILT)TI'JG DEPART PIT VALUATION OF
CONSTRUCTION:1 CAD
ItU:1�aY�1VU;U ICY:
1. F ��r.�;;'•1;',��' �'1'
t �s,,.{ tj'�i i31;'a .yd,. .:gAe.a,' qtr' j 'i ,r.�i' 4• i�F
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