HomeMy WebLinkAboutPermit 1974 - Nelsen Fillk
BUILDING PERMIT
C
PERMIT
CITY OF TUKWILA NUMBER
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISSUANCE EXPIRES
October 9, 1980 April 9, 1981
JOB ADDRESS
15813 West Valley Rd., Renton, WA 98055
LEGAL LOT NO. BLOCK TRACT
DESCR. XR SEE ATTACHED SHEET
OWNER PHONE
Helen B. Nelsen 255 -5020
ADDRESS
15643 West Valley Rd., Renton, WA ZIP 98055
CONTRACTOR PHONE
M. A. Seqale, Inc.
ADDRESS ZIP
18010 Southcenter Parkway, Seattle, WA 98188
LICENSE NO. SST NO.
BUILDING USE
Dirt Fill Sidonia A. Kettering
CLASS OF WORK
❑NEW El ADDITION ❑REMODEL ❑REPAIR A OTHER (Specify) Complete fill yard
(North end)
BLDG. 1st FL. I 2nd FL. I BASEMENT I GARAGE I DECK I MEZZANINE I OF STORES I TOTAL S.F. I VALUATION
AREA 200 yds
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT FEE BUILDING I 'LL.UU
THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE DISTRIB. PLAN RVW.
MET, AND THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT. DEMOLITION
BOND
OTHER
OWYEV/, AG�NT SIGj\IA E
COMMENTS:
TOTAL 22.00
TYPE CONST. I OCC. GROUP
I OCC, LOAD I
FIRE ZONE
I USE ZONE
I
AUTO SPRINKLERS REQ,
O YES ONO
THESE
INSPECTIONS ARE REQUIRED BY LAW
1. Driveway 2. OK to
3. Roof
4. OK to
5. Wall- 6. Structure
approach and pour footing
sheathing
enclose
board complete and/
slope and /or
and nailing
framing
nailing or OK to
foundation
OK
OK occupy
FOR INSPEC -TIQN CALL 433 -1849
BUILDI O IC L, CITY OF TUKWILA
r
THIS PERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING
BUILDING PERMIT
PERMIT
CITY OF TUKWILA NUMBER 7� I
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISSUANCE EXPIRES
Octokir 9, 1980 April 1981
JOB ADDRESS
15 1:3 Val li?y Rd., 12c:i'tton wt4�k 980055
LEGAL LOT NO. BLOCK TRACT
DESCR, k[p SEE ATTACHED SHEET
OWNER PHONE
Helen 13' illelse'll
ADDRESS ZIP
1564 3 Wort Valley Rd, p Renton W1
CONTRACTOR PHONE
111c.
ADDRESS ZIP
'18 Southcen1:ccr Park4toy, Sic?attlre, HA,
LICENSE NO. SST NO.
BUILDING USE
CLASS OF WORK
❑NEW ❑ADDITION OREMODEL ❑REPAIR Q.OTHER (Specify) Complete Til o p ir d
0 end)
BLDG. 1st FL. I 2nd FL, BASEMENT I GARAGE I DECK I MEZZANINE I OF STORES TOTAL S.F. I VALUATION
AREA
PC'0 y
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT FEE BUILDING I 2 )0,
THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE DISTRIB PLAN RVW.
MET, AND THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT DEMOLITION y I
BOND
OTHER I
OWNER /,:AGENT SIGNATURE
�yi TOTAL.If�Z
COMMENTS;
TYPE CONST. I OCC. GROUP OCC, LOAD FIRE ZONE I USE ZONE I AUTO SPRINKLERS REQ.
O YES ONO
THESE INSPECTIONS ARE REQUIRED BY LAW
1. Driveway 2. OK to 3. Roof 4, OK to 5. Wall- 6, Structure
approach and pour footing sheathing enclose board, complete and/
slope and /or and nailing framing nailing or OK to
foundation OK OK occupy
FOR INSPECTIQN CALL 433 -1849
BUILIbiNd OFFICIAL, CITY OF TUKWILA
THIS PERMIT MUST POSTED CONSP(C.UOUSLY..',ON .0.IL,D.LN.G
rroperty Descrir.tion
t� port-ion of Henry Me -der Don ati on Claim 4(---
Be`inninF. at the intersection of the 1 mP..rrin
of the. Bovr Lake )i-)e line and the :"Vest marE.in of
the est Willey Road.;
the 1�or�h long t__,. west
lir..e of said hiEhway 380 feet thence .lest to the
East bank of the Green River, thence Southerly
alon t'ne 'est. -ban'r to the North line of the pipe
Li.r_e Y ri; rt- of -way, -hence 'East to the _)oint of bE-
Ginning, less the ,State i'lEvaWey.
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is :4'.
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1
APPLICATION FOR PERMIT
BUILDING DEPARTMENT
CITY of TUKWI LA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
433 -1849
i
DATE GCt Q 1 C3�(� (PERMIT NO. WHEN VALIDATED
I EXPIRES
JOB ADDRESS 981 l d pst Vr -Iey Rd Renton., I n 98055
LEGAL LOT NO. BLOCK TRACT
DESCR.
SEE ATTACHED SHEET
OWNER Helen Q. Nelsen
(PHONE
I
2 5020
ADDRESS 1- c.)643 Gi est V, l ley Rd. Renton, Wssh.
IzIP98055
CONTRACTOR f A. Segal Inc.
PHONE
ADDRESS 18010 ,SOULhc T'- ar kwe y, Se tale, Wash.
ZIP 8188
LICENSE NO S ST NO.
BUILDING USE Dirt Fill (TENANT
cl don A Kettering
CLASS OF WORK Complete fill Of yard
NEW ADDITION REMODEL REPAIR 25-OTHER (Specify)
(North end)
BLDG. 1st FL. i 2nd FL. I BASEMENT I GARAGE I DECK I MEZZANINE I *OF STORES TOTAL S.F. I VALUATION
AR EA
I
I
I
I
I
I 0
NAME C. APPLICANT (PLEASE PRINT)
Ael en P. Npl sPn
ADDRESS 1x West Valley Rd., Renton, Wash. 98055
PHONE 2 5020 S
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CO RECT AND THAT THE APPLICABLE CITY OF
TUKWILA REQUIREMENTS WILL BE MET.
SIGNATURE OF APPLICANT
DO NOT WRITE BELOW THIS LINE
SM OKE
I 'TYPE CONST. I OCC. GROUP I OCC. LOAD I FIRE ZONE I USE ZONE
I AUTO SPRINKLERS REQ. DETECTOR
I
I YES NO YES E] NO
R W
I PLANS: I
SENT
I RETURNED
I APPROVED FEE
BUILDING
FIRE DEPT.
I DISTRIB,
PLAN RVW. I
DEMOLITION
PLAN NING/ I
I
I
BOND I
SEPA
OTHER
PUBLIC WKS. I
I I
O
TOTAL 1
I
I
I
RECEIPT NO. I
COMMENTS APPROVED
FOR ISSUANCE BY:
L.
r
c.
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