HomeMy WebLinkAboutPermit B92-0205 - GOSS RESIDENCE - GARAGE AND DECK0
t,„4,154
- (b
N),
Cos,
josepft
6.ew(
City of 7tttltJcwili,
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: B92 -0205
Type: B -BUILD
Category: ASFR
Address: 4525 S 139 ST
Location:
Parcel #: 734760 -0545
Zoning: R1.72
Type Const: V -N
Gas /Elec:
Wetlands: Slopes:
Water: N/A Sewer: N/A
Contractor License No.:
TENANT GOSS JOSEPH J & GERR•I L Phone: 206 241 -4858
4525 SOUTH 139TH' ST, :TUKWILA WA 98168
OWNER GOSS JOSEPH J. &.GERRI L
4525 SOUTH 139TH ST, TUKWILA WA 98168
******************************************** * * * * * ** * * * * * ** * * * * * * * * * * * * * * * **
Permit Description:
REMOVE EXISTING CARPORT AND CONSTRUCT NEW GARAGE
AND DECK.
Units: O00 -.
Bui l dings :::.001
Fire Protection :::N /A
UBC Edition: 1988
Cente.
Fermi
Signature:_
BUILDING PERMIT
Front:
Left:
d Signature.
Date
Type of Occupancy: PRIVATE GARAGE
SETBACKS
.0 Back:
.0 Right:
Status: ISSUED
Issued: 06/23/1992
Expires: 12/20/1992
Phone: 206 241 -4858
(206) 431 -3670
Valuation: 7,205.85
Total Permit Fee: 167.85
* * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
I hereby ,certify,. that Y' have read and escamined. this permit and know::'.the
same to be•.true and.correct. All provisions of law.and ordinances'..:
governing:. this. work will be complied with, whether specified herein or not.
The granting of'this permit does not-'presume to give,authority to violate
or cancel the. provisions of any other state or local laws regulating
construction;, or the ',p of Work. I `am authorized' to sign for and
obtain this building permit:
Print Name: O Toa J", ;. :60S5 ;: Title:
This permit shall become ' nu1 l :;and,.void if ...the: work Is. not commenced within
180 days from the date of issuance, :.or:if th'e work is suspended or
abandoned for a period of 180 days from th'e last inspection.
PERMIT NO.
CONTACTED
�-e r r t
BY:
DATE READY
DATE NOTIFIED
Lo-Q-a-q
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(init.)
AMOUNT OWING
n3 • 5O
3RD NOTIFICATION
BY:
(init. ,.._.
PLAN CHECK
NUMBER
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so that
any time the status of the project may be ascertained.
• Plan corrections shall be completed and approved prior to sending on to the next department.
• Any conditions or requirements for the permit shall be noted on the plans or summarized concisely
in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ".
BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION
(to be filled out by Plan Checker)
FI:OOR €>
TOTA
SQUARE OCC.
EET LOAD
SQUARE
ET
OCC. SQUARE
OAD F
OCC.
O D
OCC.
OAD
SQUARE OCC.
ET L!•D
TOTAL
U ' FE
TOTAL
OCC LOAD
DEPARTMENTAL REVIEW
"X" In box indicates which departments need to review the project.
►y
O FIRE
6 Ida ' a R.
ROUTED
& I (D 6Z 6 / /�1
INIT:
!.I
UTILITY PERMITS REQUIRED?
•ir
BUILDING -
initial review
PLANNING
O PUBLIC
WORKS
O OTHER
PROJECT NAME
SITE ADDRESS
4f
REVIEW COMPLETED
INIT:
INIT:
� - BUILDINGC"?ERMIT
APPLICATION TRACKING
itt arr
SUITE NO.
PUBLIC WORKS Lt I i tR DATED:
VA7 z TYPE OF CONSTRUCTION:
=MI VAI
UBC EDITION (year):
SITE ADDRESS SUITE # `.
425 SO, i.�112
VALUE OF CONSTRUCTION - $
6 Qpo, el 0 -b5• 65
PROJECT NAME/TENANT
.. o C � � t z . . 2 j .
G os5 , • 5
ASSESSOR ACCOUNT #
> < ' •- c.).6 c> cp
(commercial) Li Demolition (building)
0 Other
TYPE OF O New Building LZ Addition • Tenant Improvement
WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential)
DESCRIBE WORK TO BE DONE:
No e.ruO 1- 0 >Z tkrEr.A
REmovE EK14I6TIN6 CAR- PoeT / NE.W GAIZ 161 $ 0EG., OF_ SOIL. e.c_40trzeo
BUILDING USE (office, warehouse, etc.) t14te An().
NATURE OF BUSINESS: 0.,�,744VvkA
WILL THERE BE A CHANGE IN USE? P'No 0 Yes If Yes, new building requirements may need to be met. Please explain:
4�
SQUARE FOOTAGE - 4- Building: g Er Tenant Space: Area of Construction: pec� _
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNER .bE y� C�EZtizA G ���
PHONE 2 4
- 413S
ZIP g 8Ho8
43s$
ZIP � ) �
ADDRESS 4525 so. 139
CONTRACTOR OW UV V_
PHONE 241_
ADDRESS .4 - 5o I.3"ti
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
ARCHITECT
PHONE
ADDRESS
ZIP
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON
PRINT NAME
DATE APPLICATION ACCEPTED
I :HEREBY;:: CERTIFY : THAT I HAVE.READ:'.AND EXAMINED: APPLI ATION /�ND'K�I
BE TRUE` AND<CORRECT, AND I. : :AM 'AUTHORIZED::TO APPLY ; FOR THIS: P E R MIT
SIGNATURE
BUILDII3 PERMIT
APPLICATION
DESCRIPTION : :
BUILDING PERMIT FEE
PLAN.CHECK FEE <;``
BUILDING 'SURCHARGE::: .
DATE
OTHER:
DATE
6/ e
PHONE 241 485
ADDRESS /-45? .5 G3 IV- CITY/ZIP TukVVI i. vi 981 1v8
7�- rae.. PHONE 'Z 4t - 4$..4`$
APPLICATION SUBMITTAL In order to ensue: that your application is accepted for plan review, please make sure to fill out the
application completely and follow the plan suamittal 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 EXPIRES
I
03/16161
COMMERCIAL
NEW COMMERCIAL BUILDINGS/ADDITIONS
. . .
ri Completed building permit application (one fereach'Structure).:•::::::::::.
Assessor Account Number
Two sets (2) of the following
SpecificationS
I 1
StrUctUreltalcUlations license
engineer
Soils report stamped by a Washington State Iinnsed engIneer
} Topographical survey
. . .
[1 Energy:calcuktions stamped by a.Washlngt�n State lie .........................................
: • :engineer orarchitect . . • .. .. ..
.• • • • • • • • •.•••..... • ..................
.• . . „..
: • • " ".. ..
• • • • • • • • -- • " """- " -• " ••• • • • •• •
Legal description . .
•..:: .
WorkingdraWingS,•-•stairiped by a :Wap6ingicin.,State:!ICerised:
architect, which ••
. .
••■•■•■•■■
••••:••. Site plan
.:::••••••••!.,
Structural drawings
:,••••••••• Mechanical drawings
•:-;••••:•••••••.... .,::: •
Landscape plan
Completed utility permit appiiCatiOnJ(One•:for: project)
Six "(6) ets. of :Civil
NOTE::: utility POrni4:01:0liaPii00
nsubmittal requiromets.::
RACK STORAGE
Completed building permit:applicatien2:
ri Assessor
Account Number
Two (2) cots of plans •.:
• which • " — , — , • •::
SUBMITTAL CHECKLIST
Building fl oor plan showina ••••••••• . .
• •• • •• .. ::..: ..• • , .
Eniire where racks will bc.located;:::'::::
Exit doors
•••••;•••••• DimenSions:oi
. . ..•
Tenant spacefloor.:plan snowingrectE.Storage.layrilit;•
• • .
:Structural calculations stamped a Washington State license
• engineer (rack storage 8!:Eind
RESIDENTIAL
NEW INGLE FAMILY DWELLINGS/ADDITIONS
El Completed building permit application (one structure)
• .
• • . ::•
Legal descnption
, •
NOTE Include dimensions of iaCks.:Iiiiiighr;.'Width::.anel160401;:..iilee
and exit ways on plan
• COMMERCIAL TENANT:1MPROYEMENTS
i ,l'h...:.......
• Existing an proposed parking
• • • • . Landscape :•plan.iit'apPli4bla;:::IA:i i angt
.O...;
' . ...: Tenant letiaticin••: .,; ..,•::::...;::::,„:::::.,.....
:•. :: :'::::':;•.. Use cif adjacent (common wall) .
''.:•:', *• •••::''..: Overall dimensioriS:P1 building of sqUareifeetage-,••:;:::
t:titd.f;ao:F.j egress patterns
; :,...'..:.' ..
New Walls, exi:tingwall,?and walls to 64demblished,...:.
• • •:•••::,
Construction details
•••:••• ":•.. • Cress sections showing wall construction and method of
::.: for
Structural calculations stamped by a Washington State licensed
engine may be required if structural work is to be done
NOTE•:. If any utility Worit is soparale utility permit
application and plans.
...
: . . .
..
.RE RPO
: :::::: •••••]'''..::::-. : : :::::::: . ••:: : :''-' . -''''.:•• • :' ; ': . :: . ;:• : : : :•::; : ::'. % : • - -ii:: : : :
• .F:::::-.........:::::,..,....„. ,.,... ....
Co nipietedbUildirigp rfri i Et Ppli06tio eriejor:E"eic : ....
-:.:• '"'''' :: : ::: : : : : :•:;( 1 0:: : -:: : ::•:i , •:'•:•::••• , ::::::::: , .......]::;•......:.• ; ...
A SSOSSOr::Cceithi rither . . ‘ . ,
•..Narr atiVe:El e : Serib..10..g . : . .etsti ....‘ h : g „ r „ Ei ::::: ,e1,...! ,:„ rit ...... a .. t .:7 ".....n . al . rrit ,,..... Oe ....:.. .d .... ; . ...:4 rtd
111a ...::::.:::.,......i....:.........,,..i
toiler being installed
1% .;.;..,....... .,....:.‘...... . .., .... . :
.•:.:'; A 4 :,... i.!rlP. eF lion and .:, •;,..... • .,.,.. ,.,,,.......,
off of thO•perMIt.:' .,.. ,
ANTENNAJSATELLITE DISHES
I I
Completed
..... building „.. •..
r--i Assessor Account Number
we (2) sets of plans which include
petells::antertnaisatelytk4(00:*6d method of attachment
Structural calculations stamped by •
k. W ashington !ceps
engineer may be required
Assessor Account Number
TWO (2)sotso .
.. • ,;..,
RESIDEN
Completed building permit application
• ” s• • • ...„
. •••• • • • • • • •••••• • •• •••••
.AisasiniACPpPnit• •
Two (2) sets of working drawings wi
Site plan
Foundation plan
Floor plan
Roof plan
Building elevations (all voews
Building cross secon
NOTE It pny utility work Is to be done pro vide utili
an plans must e submitted
. . . .. .
1 . •
•• •
1 •
"X"
Permits
Date Routed
to PWD
Date Plans
Aproved
Permit Number
Approved
Plan/Letter
Date Issued
G' L
Channelization / Striping / Signing
•
Suite No.
✓
Curb Cut / Access / Sidewalk
■
-_
Fire ... / Hydrant
Flood Zone
Hauling
Land Altering
Landscape Irrigation
Moving an Oversized Load
Sanitary Side Sewer
Sewer Main Extension (private)
Sewer Main Extension (public)
Storm Drainage .
Water Main Extension (private)
Water Main Extension (public)
Water Meter (exempt) Size
No.
0 Deduct
0 Water on
Water Meter (permanent) Size
No.
Water Meter (temporary) Size
No.
Other:
Date Plans
Received
Type of Review
Date Routed
to PWD
Date Plans
Aproved
Date Resub.
Requested
Comments
Site Address
G' L
`
•
Suite No.
✓
Plan Check No.
�
I vl D - OOipJ
Project Name
,
C� 06S/
`
�. o It
C,Y_r i
Site Address
G' L
`
•
Suite No.
✓
ROUTING
City of Tuk1...a Public Works Department
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: (206) 433 -0179
UTILITY PROJECT TRACKING CHECKLIST
PERMITS REQUIRED
CONDITIONS OF PERMIT ISSUANCE OR FINAL. SIGN -OFF OF PROJECT
Propert Owner:
Site Address: 45Z5 So, is4 :
Name of Project: .3'bG a; 'E -tztzi Coo
Tv ick() to A , q8 i b tr3
A-rut GC
Phone No.: 24% –4 -&
PROJECT:...
;:INFO
Street 525
Engineer:
Street Address:
Contractor:
Street Address:
King Cty Assessor Acct #: •711 7( 264 --pro Contractor's License #:
PERMITS: ❑ Channelization /Striping /Signing
•:REQUESTED`` ❑ Curb Cut/Access /Sidewalk
WATER MET
DEPOSI >; >'<
REFUND /BILL(
t MONTHLY <. :.
RVICE << <:
BI LLINGS TO :
City of TuI Lila
Central Permit System - Engineering Division
6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188
Go t - 2,9 111
❑ Fire Loop /Hydr. (main to vault) – No.: — Sizes:
❑ Flood Zone Control
❑ Land Altering cubic yards
❑ Hauling ❑ Moving an Oversized Load
Est. start/end times:
Date:
❑ Landscape Irrigation
❑ Sanitary Side Sewer – No.:
❑ Sewer Main Extension ❑Private ❑ Public
Name:
Street Address:
Name:
Street Address:
❑ Sewer ❑ Metro ❑ Standby
UTILITY PERMIT APPLICATION
❑ Water
iE =O
ilSCELLANEO JS <
INFORMATI
1 HEREBY. CER.T!FY. T
Applicant/
Agent Signature:
Print Name: Sa
OE
❑ Multiple- Family Dwelling ❑. Hotel
No. of Units: ❑ Motel
❑ Commercial/Industrial
❑ Office ❑ Warehouse
❑ Retail ❑ Manufacturing
El New Building
Square
_Footage:
o5
❑ Single - Family Residential
❑ Duplex
❑ Triplex
❑ Apartments
❑ Condominiums
❑ Church
El Hospital
City /State TU U ILA, WtA 4t /!a8
Phone No.:
City /State/Zip:
Phone No.:
City /State /Zip:
Exp. Date:
❑ Street Use
❑ Storm Drain
❑ Water Main Extension
Private ❑ Public ❑
❑ Water Meter / Exempt: – No.: — Sizes'
Deduct ❑ Water Only ❑
❑ Water Meter / Permanent – No • ._ Sizes
❑ Water Meter/ Temporary:– No.: — Sizes• —
Estimate quantity:
Schedule:
❑ Other:
Phone No.:
City /State /Zip:
Phone No.:
City/State/Zip:
Pia- OO(ca
❑ Other:
Phone: (206) 433 - 0179
❑ School /College /University
❑ Other:
King County Assessor's valuation of existing structures: $ 6'6 cx P ' Valuation of work to be done: $
':;READ THIS; APPt.1CATION AND KNOfrY::THESAME :'
1 Contact Person
(print name): TOS a Erex 6 oSS
Address: 5 So. 13 R
Phone:
emodei/ Square footage of original building space:
Addition Square footage of additional building space
RECT'
Date: 6,/B/¢z- Phone: z41– 46 S8
Date Application Accepted:
Date Application Expires:
02/05/92
SUBMITTAL CHECK, _1ST
All site plans shall be provided in one submittal for review by the
Public Works Department. Six (6) sets of plans stamped by a
licensed engineer are required along with this application
completed and signed by the applicant's representative.
The following information is necessary for Public Works
Department evaluation and approval of site plans:
• All utility construction is to meet the City of Tukwila Standards
• Indicate scale of drawing and show north arrow
• Identify location by address or distance to nearest intersection
CURB CUT /ACCESS /SIDEWALKS/
CHANNELIZATIONISTRIPING /SIGNING
O Dimensions
O Type of surfacing - asphalt, crushed rock, etc.(and thickness)
O Percent of slope or runoff direction
O Size of curb cuts/location
O Vehicular and pedestrian traffic facilities, including signing and
striping, wheel chair ramps, curb cuts
FIRE LOOP /HYDRANT
O Type of pipe
O Size of pipe /location
O Location and type of all valves
O Type of bedding and backfill materials /percent compaction
O Distance from structures, storm and sewer facilities at minimum
separation
O Location and size of thrust blocking
FLOOD ZONE CONTROL (Requirements are under Flood Ord.
No. 1462 and can be obtained from the Public Works Dept.)
O Lowest finished floor elevation
O Contours and elevations per National Geodetic Vertical Datum
LAND ALTERING (CLEARING, GRADE AND FILL)
O Contour map (2' intervals) showing existing and proposed contours
O Estimate of yardage, both cut and fill
O Erosion control plan
HAULING
O Copy of Certificate of insurance coverage (minimum $1,000,000)
O $2,000 bond made out to the City of Tukwila for property damages
caused by activities
O Route map
LANDSCAPE IRRIGATION
O Location of DSHS approved double check valve
O Type of pipe - copper, high density molecular plastic, ductile
O Size and depth of pipe
O Size of meter
O Location and elevation of meter box (water meter - permanent and
exempt). Clearly show whether tap is on main or domestic service
O Location and type of tap
O Type of bedding and backfill materials /percent compaction
MOVING AN OVERSIZED LOAD
O Copy of Certificate of insurance coverage (minimum $1,000,000)
O $5,000 bond made out to the City of Tukwila for property damages
caused by activities
O Business License with City of Tukwila
O Route map
SANITARY SIDE( •;WER
O Type of pipe - conc uta, PVC, etc.
O Size of pipe /location
O Percent of slope on pipe /length of run
O Connection point(s) to public
O Location of cleanout(s) and test Tec(s)
O Type of bedding and backfill material /percent compaction
O Invert elevations at structures and junctions
SEWER MAIN EXTENSION
O Type of pipe - concrete, PVC, etc.
O Size of pipe /location
O Percent of slope on pipe /length of run
O Connection point(s) to public
O Location of cleanouts
O Type of bedding and backfill material /percent compaction
STORM DRAINAGE (including existing topography and
proposed grading and surfacing)
O Type of pipe
O Size of pipe
O Percent of slope /length of run
O Location of all structures
O Square footage of area to be drained, including roof area
O Bedding material for pipe
O Invert or flow line elevations
STREET USE
O Complete description of proposed activity
O Map with address and outline of limits of activity relative to public
right -of -way and easements
O Proposed traffic control /detour (per Manual of Uniform Traffic
Control Devices)
O Proposed schedule (times and dates)
WATER MAIN EXTENSION
O Type of pipe
O Size of pipe
O Hydrant type and locations
O Valve type and locations
O Connection point(s) to existing system
O Type of connection - live tap, tee, etc.
O Location and size of thrust blocking
O Size and location of mains, including elevations (profile)
WATER METER - EXEMPT
O Diagram of domestic system /tie in of exempt meter
O Number /account for existing domestic meter
O Size and type of material of meter and service
O Site address
WATER METER - PERMANENT
O Type of pipe - copper, high density molecular plastic, ductile
O Size and depth of pipe
O Size of meter
O Location and elevation of meter box (water meter - permanent and
exempt)
O Location and type of tap
O Type of bedding and backfill materials /percent compaction
WATER METER - TEMPORARY
O Address and hydrant location
O Size of meter
O Estimate of quantity and schedule
After the Public Works Department has completed their rev ew and t e plans are approved, the applicant will be notified
by letter concerning the necessary permits and requirements; an approved set of plans will accompany the letter.
if the plans are not approved, the applicant will be notified by letter of necessary resubmittal requirements.
y .U• M lrl )
) 1
04 --
1
t. I
4
IMPORTANT: This is not a Plat of Survey. It is furnished as a convenience to locate the land indicated
hereon with reference to streets and other land. No liability is assumed by reason of reliance hereon.
45
PO t
x 4•
!0 00
• s �s
4 ..
N 1
e se •
.
W
It
Y
1
v
Nit
SI
STE.RT TITLE COMPANY
of Washington, Inc.
•
•
1 3
••
$4
Al
HILL •A
•
I. 84'°' 1,o
la ea
4°
$
a
.11
at ;
0 ft
to r 4S
114
r 1•
1$
IS t
.
" • sla •
r..A
•.• a.
IS
a
•
•0
IS r
W
•
I-
to
l t ♦l 1 a. •.
• a•rr•r , •vi
•Z• uAi
•• t • 20. De Nat. •/• : !• .4011 //•. 140T
ST a I ••• . .., •• .••1 33s r t Ji•a
ORDER NO. .u,O % l
t.::y L
STEWART TITLE COMPANY
of Washington, Inc.
"A Tradition
of Excellence"
FILED FOR RECORD AT REQUEST OF
ESCROW NO. 4046
WHEN RECORDED RETURN TO
Clip Name k' RONTIER...ESCROW, ..INC.
Address
22220S..E....27.2ND
City, State, Zip MAPLE VALLEY, WASHINGTON... 98.038
Statutory Warranty Deed
:XCiS TAX PAW
DEC101986
�a$14i.Oi.
•
THIS SPACE PROVIDED FOR RECORDER'S USE:
8A/12/10 #1290
RECD F 5.00
C fSHSL *,I:.i::
THE GRANTOR JAMES JOSEPH ANGLE, as his separate estate , and LISA A. ANGLE,
y � his only wife since August 3, 1985
�/ for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION
in hand paid, conveys and warrants to JOSEPH J. GOSS and GERRI L. GOSS, husband and wife
.w the following described real estate, situated in the County of KING , State of Washington:
The East 45 feet of the North 72 feet of Lot 11; and the North 72 feet of Lot 12;
All in Block 5, Riverton Macadam Road Tracts, according to the plat thereof recorded
in Volume 15 of Plats, page 53, in King County, Washington.
TOGETHER WITH that portion of vacated 46th Avenue South adjoining on the East.
Subject to: Easement dated January 7, 1958 under King county Recording Number 4895254
4sa A.
S A. AN E
STATE OF WASHINGTON,
County of KING
ss.
I hereby certify that I know or have satisfactory evidence
that JAMES JOSEPH ANGLE an d
— LISA_A..ANGLE.— signed this instrument and
acknowledged it to be HIS free and voluntary
act for the uses and purposes mentioned in this
instrument:.
DECEMBER $ 1986
•
NotaryPublic hr,unil for the State of INisltington,
residing ail ENUMCLAW
STATE OF WASHINGTON,
County of
ss.
Notary Public in and for the State of Washington,
residing at
I certify that I know or have satisfactory evidence that
signed this instrument, on oath
stated that authorized to execute the instrument and
acknowledged it as the
of
to be the free and voluntary act of such party for the uses and purposes mentioned
in this instrument.
Dated.
a
I
t
OUTSIDE
RDA!ItS
DEPOSIT S ems/ i •
OWNER. `
HOUSE ADDRFt%
NAME SUS- DIVISION
5,V :
.5. O +5
4.• 4,
D.
Q.?! r'11
DISTRICT APPROVAL SY r4P4. h
.� / i i7
VAL VUE SEWER DISTRICT
APPLICATION FOR
. SIDE SEWER PERMIT •
ri1(1(r,ri ,,, k,4. TL's
DATE :Z.09.
UASEHENT: T NO
LOT" N.L N.. S
........ _...._ . ................. _._....
N
• '1■12 1386
UMW
NT
CARD N.
OA
CITY OF TUKWILA•
APPROVED
'JUN 1992
El!! DING DIVISION
I HERESY CERTIFY THAT THE MOVE CONNECTION HAS DUN
MADE AS SHOWN, PRIOR TO 1ACKFILL
`Accourt'Cod.e •
:000/345.830
" T l " :i •;r.•.
i4 * *k' ** *k * ** * ****** **** * *k** *****************k****** **
iT'? OF TUKWILA, 4!A TRANSMIT
**.** ***k ********** ** k** k**** ** * ** * *****Jr* **.k ****k ** **
TRANSMIT Number: 92000533 Amount: 64.35 ,O[: OB /':�'�L � 41.4
Permit; 'No: 092 -0205 Typo fl--BUILD. BUILDING PERM T
Parcel No: 7
Site Addres ; 4525 S 1.39 ST,
, Payment Method: CHECK Notation: JOE 0(16 ]nit SLB
******** r************************* *** * * *** * *•k * *k **k ** ***** *k
Total.Fees:
Total All' Payments: •
Balance:
Description Paid
PLAN CHECK - RES 64.35
Total (This Payment): 64.35
167.55.
64.35
103.50
pw•...w�r•ryC.r.y,rNacHr ,: vv 'v:ie:Ar..ae +.+^i.y..- ir':;�?;
GENERA 64.35
TOTAL . , 64.35
CHECK 64.35
CHANGE 0.00
0548A000 12 :22
41' 7 '.7' "rmrawt '
.Account Code
000/322.100..
000/386.904
4ie • . "' ^. N.RY:11 4•t ;oWft t :rPi ri{R_!l ;!'.;7`�l i
• Total Fees:
Total All 'Payments:
Balance:
Description
BUILDING •- RES
STATE BUILDING SURCHARGE
Total (This Payment):
167.85
167.85
.00
66/23/92
Paid
99.00
4.50
103.50
.* * * * ***** * ** Pik **** ************* *: 4* ***** * ***** *******. **** *•h* * ***
CITY OF TUKWILA, WA TRANSMIT
***.****.**** * * * * * * * * * * * * * * ** * * * * * * **** * ** ** ** * *JJ * *•khk* * *JJJ * * **
T.RANSMIT.Number: 920006.35 103.50 06/23/92 15.43
'hermit. Na: B92• -0205 Type: B- BUILD. BUILDING PERMIT
P&rcel No: 734760 - -0545'
: Site Address: 4525 5139 5T
:.P&y'ment Method: CHECK Notation:. JOE GO55 Irtit: SAO
* **** * * * * * *k * * * * * * * * * * * * **k*. * * * * *•* *fir * * *. * * *** * * ****.*
GENERA
' GENERA
TOTAL
CHECK
CHANGE 0.00
O983A00O 14239
7:4 "teFi
99.00
4.50
103.50
103.50
• ro e : .
ype o nspect o
hi iiiii igen mama i
w i iii i im g ra w r a m
Specie Inst ctions:
ef i :.a
Date Wanted: 0 / am.
Requester: .0_44)
Phone No.: / MI III I
,
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. D Corrections required prior to approval.
C2 IVNENTS : —.—
eCelp
1. INSPECTION RECORD
Retain a copy with permit
o.
CO.
(206) 431-3670
IV! I I I I I MI I • I Ei NEM
nspector:
0 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
1 ., 6300 Southcenter Blvd., Suite 100. Call to schedule relnspection.
Date:
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
• Y
bns : . I ? 9 ST
ivOgr 3;oD pm P
Inspector:
INSPECTION RECORD
Retain a copy with permit
-P((S
Type ofinspedion:
O
3- I6-
gate wanted: 3 / c t i
a.m.
Requester.
COMMENTS: "ov,e
(206) 431 -3670
Approved per applicable codes. a ❑ Corrections required prior to approval.
❑ $30.00 REINSPECTION F
IT/
REQUIRED.. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspectlon.
/ O
r
role srommim
YPe o n ....PI
,u
.d :.ss•
Date a :.:
—
.—
Sp : «al Instructions:
P M . Pl etatt.
Date Wanted:
—
_'
am ��
Requester:
Phone No.:
7 ....
'1
L.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Q' INSPECTION RECORD
Retain a copy with permit
Approved per applicable codes.
Inspector :.
❑ Corrections required prior to approval.
MENTS ::' ,44/e.
•
cts
'339-
a,?d�
PERMIT NO.
(206) 431 -3670
Ae-
AIN/IIW4 ---
/ .00 REINSPECTIO FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Project: �► ►
Type of Inspection: •s.
(�_
Address: , f z ,.-
� ,
/ .
Date Called:
Special Instructions:
�\ 4 Ai
' �i
' m .
Date Wanted:
3 ,. `
am p.m.
Requester: e x .%'� � � 5
Phone No.: ,z g i y 4
5
{
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
~Approved per applicable codes.
.COMMENTS:
nsoector;
0 INSPECTION RECORD
Retain a copy with permit
(206) 431 -3670
❑ Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
• roe : tst G 0 S
e 0 nspe, ooF Aect�. am c.i nK;
Address: 4 /5- 2, 5 5 • r3
Datat e Called: cr.,. Z 2_
Special Instructions:
Date Wanted:
9 %z.3 -" 92
am. p.m.
Requester:
Phone No.: /_ (0--.5,,P
INSPECTION RECORD 0
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTS: •
• 1
nspect
I Receipt No,:
I Dale:
(206) 431 -3670
❑ Corrections required prior to approval.
23 ,
PERMIT NO.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'roe ; - .�- -
311' 6055
ype o nspe ion: . T n
■ Address:
Address: J�a 5 5 /
Date Called:
i v 8. _ t
(
instructions:
r pa,� vns c �- a
l�
3; 00 � �dCt�
4 y
c
Date Wanted:
/ F'r, e4
���I C- am. p.m.
Requester:
Jc�� �7
Phone No.;
(pt -4 gS8'
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with perm'
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
8 -0 20.E
PERMIT NO.
(206) 431 -3670
O Corrections required prior to approval.
O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
CITY OF TUKWILA
Address: 4525.S 139 ST Permit No: B92 -0205
Tenant: GOSS JOSEPH J & GERRI L Status: ISSUED
Type: B -BUILD
Applied: 06/08/1992
Parcel #: 734760 -0545 Issued: 06/23/1992
* * * * * * * * * * * * * * * * **** k***• k******************* * *•k *•k ***** * * * * * * * *•k * * ** *** ** k *•k
Permit Conditions:
1. No changes will be made to the plans unless approved by the
Architect and the Tukwila Building Division.
2. Electrical permit shall be obt.a_ined., through the Washington
State Division of Labor Labar electrical
work will be inspec,terd,by that agency" (277, 7,272)
3. All permits, inspection records, and approved w:p°l•ans shall be
maintained ava. a �l e a at the< sofa si � pr i or i tp the <rstart of
any construc } tion The 3 dacuments are to F b er, maintained
w3{ � �,� { pection s ° y val � �riis;�'g n m,at b
available it-i l fi aranted
st
r 3�'s �� nal ins1 :? f ppro '' ' �. by
4. All con•r�vu.ct i on to be done 41n y � conformance wi.tt(f,app,ro
plans 'a d eq,u °i .o'fM the ,Uniform Building Code 'S19""
Editiory$, Unwif'orm Me,ch` Editi °on) a the;'
Washington State er
r? g Y ° E Co de' 1(199 } ` E dition) . '',, .
r� �
5. Vali 1t i of Permit. The.. i ssuance of" a permit or ".. o
plan fr ,,' spec1f ica . tions a,n•d computations shall not be con, - ;', 4i
strue toss =b:e°4a permit °f;or, or 1. approval of, any violation
of a'n' o;f th ; e provisions •�of.�,t code' or of any other
ordain, nc -. of tie jurisdictiofr�',
t No k, rem`i,.t
au h o rity: or violate or-.,cancel ' ;th. �aprovsisions of this code :;,,
shall be vali . <.' ° t, ' 4 ' r ' `'
cg
rM
Aug 02, 1994
JOE GOSS
4525 SOUTH 139TH
TUKWILA, WA
City of Tukwila
98168
RE: GOSS JOSEPH J & GERRI L
Dear Permit Holder:
John W Rants, Mayor
Department of Community Development Rick Beeler, Director
Our records indicate that on Sep 14, 1994, one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Building Permit Numbert :5 Unless you call for an inspection,
or obtain a written extension from the Tukwila Building Official prior to
that date, your above referenced permit will become null and void on
Sep 14, 1994.
If your project has been completed please call for final. If you are
actively working on it please notify our office.
If you have any questions or need further information to obtain an
extension on your permit, please call the Tukwila Building Divison at
431 -3670.
Sincerely,
Shellie Bates /Sylvia Osby
Permit Technicians
Department of Community Development
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188
(206) 431-3670 • Fax (206) 431-3665
Feb 03, 1994
'JOE GOSS
4525 SOUTH 139TH
TUKWILA, WA
City of Tukwila
Department of Community Development Rick Beeler, Director
98168
RE: GOSS JOSEPH J & GERRI L
Dear Permit Holder:
Our records indicate that on Mar 20, 1994 one hundred and eighty days will
have passed with no ins•ections having been called for under Tukwila
Building Permit Number et4B2RAI Unless you call for an inspection,
or obtain a written extension from the Tukwila Building Official prior to
that date, your above referenced permit will become null and void on
Mar 20, 1994.
If your project has been completed please call for final. If you are
actively working on it please notify our office.
If you have any questions or need further information to obtain an
extension on your permit please call the Tukwila Building Divison at
431-3670.
Sincerely,
;1,6o
L e elan' ‘ ci
Denise Millard
Permit Coordinator
Department of Community Development
6300 Southcenter Boulevard, Suite #100
John W. Rants, Mayor
Tukwila, Washington 98188 • (206) 431 -3670 • Fax (206) 431-3665
DATE - q 3
PROJECT NAME ." j
ADDRESS <.
CONTACT PERSON lii) l PHONE... 1- 4Q 58
ARCHITECT OR ENGINEER N- I3 M D6)
PLAN CHECK/PERMIT NUMBER
TYPE OF REVISION:
CITY OF TUKWILA
6300 SOUTHCENTER BOULEVARD
TUKWILA, WA 981.88.
* :" REV11SEON SUEargETTAL *° *
!/►AA
4.
y
SHEET NUMBER(S)
"Cloud" or highlight all areas of revisions and date revisions.
SUBMI1'1 TO: - v22446 <e (etu _
CITY OF TUKWILA
APPROVED
SEP 8 '993
iw' `NJ.
0 I
F31 .11L
DIVISION
CITY OF
SEP 0 8 1993
PERMIT CENTER
Aug 17, 1993
JOE GOSS
4525 SOUTH 139TH
TUKWILA, WA
98168
Dear Permit Holder:
Our records indicate that on Sep 21, 1993 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Building Permit Number B92-0205. Unless you call for an inspection,
or obtain a written extension from the Tukwila Building Official prior to
that date, your above referenced permit will become null and void on
Sep 21, 1993.
If your project has been completed please call for final. If you are
actively working on it please notify our office.
If you have any questions or need further information to obtain an
extension on your permit please call the Tukwila Building Divison at
431 -3670.
Sincerely,
City of Tukwila
Department of Community Development Rick Beeler, Director
Denise Millard
Permit Coordinator
Department of Community Development
6300 Southcenter Boulevard, Suite #100
John W. Rants, Mayor
Tukwila, Washington 98188 • (206) 431.3670 • Fax (206) 431.3665
---
---- a;P - af-dol --- p — 12affriTric6 7 (4arif 7:1 . p4;" 0 (
...
1 -' - ci
, ili7, 4. -- pf3W- 1 1ZW t'sa
MAR 16 1993'
ig A' - X _Iiig Gfr:._.g.x-- ....
PERMIT CENTER
7 ixtov dt ;441
17)cr - c.f - 7 Q
-27 )‘ ( Do \ICn 1 --- Th \ CY\ `rk CU-
i
i
4-11_ CA ' 0 g G
,
is:1 a -- J -- r :. a ,- 7)C N ■ft_1.. -
„.)
--
: crINY 1.0 '
------------7--- ---- -------
-- Ni-X. Th:0 --.. Na
-------------- -------- _ - _T:„ - D . - 7:zszy -- a 8 .‘" OCT ----- - - "_a_, -- ------ ---- -
r(Fcric) - - Lb ca *--) _..la W
a cu. - 5i n -- (II Nnoz-y, 3(r)
--:. >t,/-4A(2) /,'H
N
.,.,, /
t 4'
/
4 ,■ ' ■; ..
771:FT2 . . •
4.7111) 7
Feb 18, 1993
JOE GOSS
4525 SOUTH 139TH
TUKWILA, WA
98168
Dear Permit Holder:
Sincerely,
City of Tukwila
Denise Millard
Permit Coordinator
Department of Community Development
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188
John W. Rants, Mayor
Department of Community Development Rick Beeler, Director
Our records indicate that on Mar 22, 1993, one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Building Permit Number B92 -0205. Unless you call for an inspection,
or obtain a written extension from the Tukwila Building Official prior to
that date, your above referenced permit will become null and void on
Mar 22, 1993.
If you have any questions or need further information to obtain an
extension on your permit please call the Tukwila Building Divison at
431 - 3670.
(206) 431-3670 • Fax (206) 4313665
RECEIVED
CITY OF TUKWILA
* * REVISION SUBMITTAL * * AUG 2 5 1992
DATE 6Ye ��i
PROJECT NAME 0, itu
ADDRESS 4C2C SO 1sq
ti Tie
CONTACT PERSON �". 6;6 s S PHONE l > v CC e,
ARCHITECT OR ENGINEER Am R rt e,N
PERMIT NUMBER jil? w°^ 6 2b (If previously issued)
PLAN CHECK NUMBER:t
TYPE OF REVISION: i {` ;E G 'seto v'
rya 1 �! �► e9 �. '
( I P..l coo rI't car At Rte,
SHEET NUMBER(S)
"Cloud" or highlight all areas of revisions and date revisions.
SUBMI'1'1'i✓D TO:
CITY OF TUKWILA
6300 SOUTHCENTER BOULEVARD
TUKWILA, WA 98188
ooft.- 1Z -14 IE
RECEIVED
CITY OF TUKWILA
2 5 1992
PERMIT CENTER
tome.... "Mt
PERMIT CENTER
!: _ t. !� ) i L l L (' j\.
1 n tool
•
\j t : �t� : i : � ' � { � i L' z.
f- fac
1'f1C�t. 1 4 i
1
•
•
1
I
I i
•
•
•
Pikeve z OF
•