HomeMy WebLinkAboutPermit 2034 - Knudson & Todd - Fill4.
BUILDING PERMIT
PERMIT
CITY OF TUKWI LA NUMBER��'y
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
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 INSPECTION CALL 433 -1849
Q. r
BUILDIN FFICIA CITY OF TUKWILA
THIS PERMIT MU BE POSTED CONSPICUOUSLY ON BUILDING
R
DATE OF ISSUANCE
EXPIRES
February 10. 1981
August 10. 1981
JOB ADDRESS
14210 Interurban Ave. South
LEGAL LOT NO.
BLOCK TRACT
SEE ATTACHED SHEET
DESCR.
OWNER
PHONE
Knudson, Jerry Todd, Frank
246 -9456
ADDRESS
ZIP
6421 So. 143rd P1
CONTRACTOR
PHONE
Boulevard Ex.
P O. Box 68128 Seattle, IVA
98188
LICENSE NO.
SST NO.
BO -UL -EE *342LL
C57874532 -8
BUILDING USE
CLASS OF WORK
❑NEW ❑ADDITION ❑REMODEL
yy
1:1 REPAIR ?`]OTHER (Specify) To elevation.21
Dirt Fill 5000 cy
BLDG. I 1st FL. I 2nd FL. I BASEMENT
I GARAGE I DECK I MEZZANINE I OF STORES I TOTAL S.F. I
VALUATION
AREA
15,000.00
I CERTIFY THAT THE ABOVE INFORMATION
IS TRUE AND CORRECT FEE
BUILDING
102.00
THAT THE APPLICABLE CITY OF TUKWILA
REQUIREMENTS WILL BE DISTRIB.
PLAN RVW.
T, AND THAT I AM AN AUTHORIZED
AGENT FOR THE PROJECT
DEMOLITION
n
BOND
r
OTHER
gWNER ENT'SIGNATURE
102.00 i
TOTAL
COMMENTS:
TYPE CONST. I OCC. GROUP
I OCC, LOAD I FIRE ZONE I USE ZONE
I AUTO SPRINKLERS REQ. Sm o ke Det.
M1
❑YES CX NO
X NO
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 INSPECTION CALL 433 -1849
Q. r
BUILDIN FFICIA CITY OF TUKWILA
THIS PERMIT MU BE POSTED CONSPICUOUSLY ON BUILDING
PERMIT
BUILDING PERMIT
N U M B E R
CITY OF TUKWILA _x2Q3
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
i
DATE OF ISSUANCE
EXPIRES
Arieust 1.0. 1981,
JOB ADDRESS
i>a.,) Ave. SOLIth..
LEGAL LOT NO.
BLOCK TRACT
DESCR.
O SEE ATTACHED SHEET
OWNER
PHONE
4iriv(.1son. ._1 i'alu, Frank:
246- �'45f�
ADDRESS
ZIP
y q I
t)•'•12! So. .43nd
1
CONTRACTOR
PHONE
ADDRESS
ZIP
1 ".0, Box 01"'12,8 Seattle, 11A
c)g18�1
LICENSE NO.
SST NO.
til,�S ::1 1 :f•�; �11I_•
057874532 -8
BUILDING USE
CLASS OF WORK
❑NEW ❑ADDITION ❑REMODEL
❑REPAIR OTHER (Specify) To t•+1•tsvati.0n. 21
Dirt Fil l, 50£10 c y
BLDG, 1st FL. I 2nd FL. I BASEMENT I GARAGE I DECK I MEZZANINE I OF STORES I TOTAL S.F. I VALUATION
AREA
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT FEE BUILDING 102.00
THAT THE APPLICABLE CITY OF TUI <WILA REQUIREMENTS WILL BE DISTRIB. PLAN RVW•
AND THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT DEMOLITION
MET,
/n.
BOND
i, •c L emu•....
OTHER
OWNER AGENT'SIGNATURE
TOTAL'
COMMENTS:
TYPE CONST.
I OCC. GROUP
I OCC. LOAD
I FIRE ZONE
I USE ZONE
AUTO SPRINKLERS REQ. cif OR .)O!
1 ,s
�rA
rJi] YES -[ANQ
THESE INSPECTIONS ARE REQUfRED BY LAW f_
1. Driveway 2. OK to
t footing
qK fo 5. Wall- 6, Structure
approach and pour
sheathing s j enclose board complete and /`7
slope and /or
and nailing (rarhfng; nailing or OK to
i foundation
OK OK occupy
j
v
FOR, INSPECTION CALL 433 -1849
BUILDING'OFFICII�LrCITY OF TUKWILA
THIS PERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDIRIr
(UILDING DEPARTMENT ;a
CITY of TUKWI LA'.
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
433 -1849
APPLICATION FOR PERMIT
DATE PERMIT NO. WHEN VALIDATED EXPIRES
JOB ADDRESS /�,a 4 4, �lJE SO,
LEGAL LOT NO. BLOCK TRACT
DESCR. .d, SEE ATTACHED SHEET
OWNER k UlCA O/V_. Z EAPR,0/ d d C1 �.2A� /c PHONE o n y
ADDRESS 1. kr. l�� �d IZIP
C�
CONTRACTOR 'f l PHONE
ADDRESS A '6e. ZIP
LICENSE NO gd u SST NO. F
BUILDING USE TENANT
CLASS OF WORK .,L L
NEW ADDITION REMODEL REPAIR OTHER (Specify)
BLDG. 1st FL. I 2nd FL. I BASEMENT I GARAGE I DECK I MEZZANINE I OF STORES I TOTAL S.F. I VALUATION
AREA I I I I I I I CIS C) GGi Vd
NAME OF APPLICANT (PLEASE PRINT) T RQy u �S o y
ADDRESS �l�a� sd PHONE U� Otis
i CERTIFY THAT THE INFORMATION FURNISHED BY ME IS ND CORRECT AND THAT THE APPLICABLE CITY OF
TUKWILA REQUIREMENTS WILL BE MET.
SIG URE OF AP ICA
DO NOT WRITE BELOW THIS LINE
TYPE CONST. OCC. GROUP I OCC. LOAD I FIRE ZONE I USE ZONE I AUTO SPRINKLERS RECL /S��iCn 'r,-t�j
I
1
I I
I I A-1 1
1 YES AND 13 l k40
PLAN PLANS:
RVW,
SENT
RETURNED
I APPROVED FEE
BUILDING I
FIRE DEPT,
I I
I DISTRIS.
PLAN RVW.
DEMOLITION I
SEPA
W I
���lp�� w,
BOND I
OTHER I
PUBLIC WKS.
L
ON DAL
TOTAL
I
I
rr1 LAL
RECEIPT NO. 1
COM739NTS:
APPROVED FOR INSURANCE BY:
r'`...
legal description surveryor's map
r3UI LDING DEPARTMENT
CITY of TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
433.1849
APPLICATION FOR PERMIT
DATE /-P -?,3 a s (PERMIT NO. WHEN VALIDATED
f
JOB ADDRESS /�,c? (J 4o SCJ.
LEGAL LOT NO. BLOCK TRACT
DESCR.
OWNER Kti fil 0` (J
ADDRESS
CONTRACTOR
Lev
,a SEE ATTACHED SHEET
I PHONE
I c a
ZIP l
PHONE
ADDRESS �U
&!a� 4 1e (�N
(5
ZIP
LICENSE NO u
I S ST NO.
BUILDING USE
TENANT
CLASS OF WORK
NEW ADDITION
REMODEL REPAIR OTHER (Specify)
7-0 �2L Z b
D ODO
BLDG. 1st FL. I 2nd FL. 1
BASEMENT GARAGE I DECK MEZZANINE
I OF STORES TOTAL S.F. I VALUATION
AREA
I I
I
I
I
I
I i5,
o G 0, G" d
NAME OF APPLICANT (PLEASE PRINT) T RH/ u
ADDRESS 6 (a/ 'sv.
��/�j �r
I PHONE
/�G �21 6
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS 2ND CORRECT AND THAT THE APPLICABLE CITY OF
TUKWILA REQUIREMENTS WILL BE MET.
;>ll*'lURE OF APy'I.ICANT
DO NOT WRITE BELOW THIS LINE
I TYPE CONST. I
I
PLAN PLANS:
RVW.
FIRE DEPT.
PLANNING/
SEPA
PUBLIC WKS.
COMMENTS:
OCC. GROUP I OCC. LOAD
SENT
RETURNED
!.2- /�3 /s�
I EXPIRES
TOTAL
RECEIPT NO. I
APPROVED FOR INSURANCE BY:
FIRE ZONE I USE ZONE AUTO SPRINKLERS REQ. IShe{�t t
I 1 I❑ YES AND a yet �b I
APPROVED FEE BUILDING I l0 D U
DISTRIB. PLAN RVW. 1
DEMOLITION
BOND I
OTHER
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