HomeMy WebLinkAboutPermit B95-0334 - STENSEN - SHED DEMOLITION City of Tukwila C L (206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
DEMOLITION PERMIT
Permit No: B95 -0334 Status: ISSUED
Type: B- DEMOLI Issued: 09/27/1995
Category: RES Expires: 03 /25/1996
Address: 4434 S 150 ST
Location:
Parcel #: 004200 -0070
Wetlands: Slopes: Y
Water Dist: 125 Sewer Dist: VAL VUE
Units: 000 Buildings: 001.
Contractor License No:
TENANT STENSEN I M
4434 S 150, TUKWILA; WA 98188
OWNER STENSEN I M
4434 S 150, TUKWILA, WA 98188
CONTACT I. M. STENSEN Phone: 206 242 -0397
4434 ,S 150 ST, TUKWILA,' .::WA'' 98188
*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description: Valuation 200.00
tf j.
DEMOILITION OF 16' X 24''': SHED.
Demolition' Fee: 42.00 Investigation Fee: _`: .00
Cash;'Bond: .00 '' .Total Permit Fee: , 42.00
Bond Number
*************,***************,************** * * * * * * * * * * * * ** * * * * * * * * * * **
1 ,
Permit'C;enter Authorized Signature Date
I here certify that I have read `and examined this permit and know the
same to be true and correct:: ''Al All ,provisions of law and ordinances
governing this work will be complied :'with, whether specified herein or not
The grantingof this permit does not 'presume to,giveauthority to violate
or cancel the ::provisions of any other state or local laws regulating
construction or the Performance of work. I.., am authorized to sign for an
obtain this built' ng emit.
43
Signature: '� Date: F: 7 7 9
Print Name: /..17, &TA4CE,d
. Title: e
i•
This permit shall become ° null and void if the ;work , `i's not commenced within
180 days from the date of '':issuance , - the :Work is suspended or
abandoned for a period of 180' day s ::from : =the last inspection.
ALL PERMITS FOR DEMOLITION PROJECTS REQUIRE CONSTRUCTION, DEMOLITION AND
LANDCLEARING WASTE MATERIAL FROM THESE PROJECTS TO BE RECYCLED AT A KING
COUNTY LICENSED OR APPROVED FACILITY, OR TAKEN TO REGIONAL DISPOSAL
FACILITIES.
. °'�'" 7.'4's CITY OF TUKWIL�,. ..
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Department of Community Development – Permit Center
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BUILDIN PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southccnter Boulevard, Tukwila WA 98188 DESCRIPTION AMOUNT RCPT # '<>.DATE ><>
(206) 431 -3670 P co (J BUILDING PERMIT . ..
PLAN CHECK PLAN CHECK FEE
NUMBER IRO ��L BUILDING SURCHARGE
PPf ICATI N 1�11'UST BF.,
> � , LED : i •
�I L.nv, T COM Y >.. : TOTAL': - �
SITE A DRE S _.--- SUITE # VALUE OF CONSTRUCTION - $
4t3 S? . , ' C yg ( 8 ; o C.7 \ .
PROJECT NAME/TENANT / ASSESSOR ACCOUNT #
Oo 3% Oo1 •
TYPE OF ❑ New Building U Addition U Tenant Improvement (commercial) • Demolition (building)
WORK: aRack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other: _
DESCRIBE WORK TO BE DONE:
&6 i t , ' / 1 - i — C . / 1 - 7 0 - I'U' O D . - 6//-77?-' ie0oF /4)( 0/ L._. .
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? jallo ❑ Yes If Yes, new building requirements may need to be met. Please explain:
SQUARE FOOTAGE - Building: 3 � U sQ. E_ .Tenant Space: Area of Construction:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
No ❑ Yes IF YES, EXPLAIN:
FIRE PROTECTION FEATURES: ❑ Sprinklers ❑ Automatic Fire Alarm System
PROPERTY OWNER
/ //. E,e_c �, PHONE 7 _ 0 /
ADDRESS / f � f � ' cv , „co cv/ ZIP �j g.? CONTRACTOR 2)A dr " 7) (j/1 / �� i . 7 .yi PHONE f
ADDRESS ZIP
WA. ST, CONTRACTOR'S LICENSE it EXP. DATE
ARCHITECT PHONE •
ADDRESS ZIP
i HEREBY CERTIFY .THAT: I ::HAVE READ:;AND EXAMINED; THIS: >' APPLICATION; :AND: KNOW..: THE:; SAME TO :i: ;:.
BE:TRUE AND CORRECT, AND'I' A AUTHORIZED'?TO: APPLY: FOR'THIS PERMIT.
BUILDING OWNER SIGNATURE DATE / 7/
OR PRINT NAME PHONE
AUTHORIZED /,� 777 S _
AGENT ADDRESS 4 /v3/ _ S / S - - U CITY/ZIP c7i
CONTACT PERSON � 3-7-Q n Qn PHONE ` _ b . 7
L In order to ensure that your application is accepted for plan review, please make sure to fill out the
APPLICATION SUBMITTAL ord t y pp p p � p
application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at
the Building counter which provide more detailed information on application and plan submittal requirements.
Application and plans must be complete in order to be accepted for plan review.
VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of
Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting
application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is
subject to possible revision by the Building Division to comply with current fee schedules.
BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor
licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this
permit application and obtain the permit will be required as part of this submittal.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall
expire by limitations. The building official may extend the time for action by the applicant for a period not exceeding 180
days upon written request by the applicant as defined in Section 304(d) of the Uniform Building Code (current edition).
No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements, please
contact the Department of Community Development Building Division at 431 -3670.
DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES
- a - 1 6 15 -62,1-qt =5.
•
•
.
• 4 *A.**A•kk *A * **A k** *'kh•hk•k:4kk:1 k *A *•.A *A { +** *• Is*.A•kAkA GENERA 42.00
TOTAL 42.
CIfY ,OF, TUKW3LA. WA U, T RANSMIT CHECK 42.Q0 *A **kk1,••�k'k *•k*•A*•k•hA * •A *k . * ** k �k• kAk. A4r •k•k1 *•A*.k** *AkA•, aO
TRANSMIT hl.umberr 9400:3007 Amount: 42.00 09/27/0 3S CHANG4 6 :0
Piainent Method; CHECK Notation: I. M. SrENGEN tni : 31_1 b 45A000 �6�
Permit No: 095 -0334 Tyne: 13- •UI:f40LI DEMOLITION PERMIT
Parcel No: 004200- •0070
Site Address: 4434 "a 150 ST
' •rottzl' Feee: 42.00 '
Thyit Payment 42.00 Total ALL Pmts: 42.00
lalance: .00
k *k•k 1 *** ** **s1A * *A ** k * *ks1•ks4 * *siA•ok **A•kA *4** kA A *A *Ik4A.A * *•kst *•k * * *• *. *s1 *A
Account Cede Description Amount •
000/322.100 l3U]:LOING - RC:; 42,00 : . '
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- INSPECTION RECORD ( --
Retain a copy with permit
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CITY OF TUKWILA BUILDING DIVISION ,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670
1 ype of ins . — AD
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ressHe /57
SpecialinsiructIW Date Wanted: 3
Requester:
Phone
• 1■1111/1311•
6,pproved per applicable codes. Il • ffections required prior to approval.
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COMMENTS: a / >7
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risPect"A e: Ael
0 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be pa at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.c
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INSPECTION RECORD
Retain a copy with permit 03$
CITY OF TUKWILA BUILDING DiViS1ON t,
6300 Southcenter Blvd., #100, Tukwila, WA 98188 �& (206) 431 -3670
'ro ypeo ns• :► • .
• • toss: - L/ 3y 4 /se" 9 • ; e
Spedal Instruct ons: Date Wanted: am. p.m.
Requester: J
Phone No `'
Approved per applicable codes. ❑ Corrections required prior to approval.
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COMMENTS:
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