HomeMy WebLinkAboutPermit 5753 - East Marginal Corporate Park - Driveway DemolitionBUILDING PERMIT
(POST WITH INSrcCTION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
• CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING �� y�
PERMIT NO. �
DATE ISSUED:
PL
FEES
DESCRIPTION
AMOUNT
RCPT 0
DATE -
BUILDING PERMIT FEE
ADDRESS Elliott Avenue West, Suite 400, Seattle, WA
ZIP 98109
WA. ST. CONTRACTOR'S LICENSE # SABEYC141PH
PLAN CHECK FEE
ARCHITECT N/A
ADDRESS
ZIP
_
BUILDING SURCHARGE
ENERGY SURCHARGE
OTHER: Demolition
30.00
207?
9 -11 -89
TOTAL -
30.00
N C ECK #89 -248
PAQJFC 1 INFC)rZP.1f1 riou
12530 35 Av S
UI
1,250.00
PROJECT NAME/TENANT
East ar i al orate Park ASSESSOR ACCOUNT 0 734560 - 0410 -00
TYPE OF U New Building U Addition U Tenant Improvement (commercial) ® Demolition (building) U Grading/Fill
WORK: ❑ Rack Storage ❑ Reroof 0 Remodel Lresidentialt ❑ Other
DESCRIBE WORK TO BE DONE:
Denio, cut and cap utilities, remove driveway.
PROPERTY OWNER Sabey Corporation
PHONE 82 -9596
ADDRESS Elliott Avenue West, Suite 400, Seattle, WA JZIP 98109
CONTRACTOR Sab_ey Corporation
PHONE 282 -9596
ADDRESS Elliott Avenue West, Suite 400, Seattle, WA
ZIP 98109
WA. ST. CONTRACTOR'S LICENSE # SABEYC141PH
EXP. DATE 12 -31 -89
PHONE
ARCHITECT N/A
ADDRESS
ZIP
USE 4
CODE cor.i t IMMPP ;I
/
/
FLOOR SQUARE OCC.
* _ FEET LOAD
SQUARE
FEET
oCC.
LOAD
SOUAFE
FIST
OCC. SQUARE
LOAD FEET
oCC.
LOAD
SQUARE
FEET
occ.
LOAD
TOTAL TOTAL
SQUARE FEET OCC, LOAD
1
TOTAL
TYPE OF CONSTRUCTION: UBC EDITION (year) 88
SETBACKS: N _ S - E -
—
FIRE PROTECTION: ❑Sprinklers O Detectors ®NIA
UTILITY PERMITS REQUIRED ZU Yes O N o
(rough
Public Works1
ZONING: C_M BAR /LAND USE CONDITIONSDyes Q No
DATE:.<- =7 l 5y`?
PRINT NAME: % L 5. ' �� ;�
CONDITIONS (other than those noted on or attached to permit/plans):
APPROVED FOR 1 I BUILDING
ISSUANCE BY: ` pit, f y�\ j� ,_,v`, OFFICIAL
DATE:
1 - Ct
I hereby certify that I have read and M amined 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 boat laws
regulating construction or the performance or work. I am authorized to sign for and obtain this budding permit.
SIGNATURE:' `_
DATE:.<- =7 l 5y`?
PRINT NAME: % L 5. ' �� ;�
,
COMPANY: . `- -�� `• - € , e� •;.-
This permit shall become null and void if the work is not commenced within 186 days fr rte the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection.
A I U :
CERTIFICATE OF
OCCUPANCY NO.
QW 141.11
buiLU1NG PERMIT
(POST WITH IN _ £CTION CARD AND PLANS
IN A CONSPICUOUS LOCATION)
CITY OF TUKWILA
Department of Community Development - Building Division
6200 Southcenter Boulevard, Tukwila WA 98188
(206) 433 -1849
BUILDING
PERMIT NO. 5''I 5_3
DATE ISSUED:
9-Q9 -- 1
PLAN C
FEES
DESCRIPTION
AMOUNT
RCPT R
DATE
BUILDING PERMIT FEE
ADDRESS 201 Elliott Avenue West, Suite 400, Seattle, WA
ZIP 98109
WA. ST. CONTRACTOR'S LICENSE # SABEYC141PH
PLAN CHECK FEE
ARCHITECT N/A
PHONE
—
BUILDING SURCHARGE
ENERGY SURCHARGE
OTHER: Demol i t ion
30-00
, 30.00
_2.412_._,
9 -11,$9
TOTAL -
ECK #89 -248
PROJECT NAME/TENANT
PROJFC r
1253Q 35 Av S
Eas ar.'1.1 •
TYPE OF 0 New Building ■ Addition • Tenant Improvement (commercial) 51 Demolition (building)
WORK: 0 Rack Storage 0 Reroof 0 Remodelltesidentlall 0 Other:
DESCRIBE WORK TO BE DONE:
Demo, cut and cap utilities, remove driveway.
INF c)R'1A rlr)ti
i
1.250.00
ASSESSOR ACCOUNT IY 734560- 0410 -00
Grading/Fill
PROPERTY OWNER
.1- . .. . '..
PHONE
: -•
ADDRESS 201 Elliott Avenue West. Suite_ 400. Seattle,
A ZIP 98109
PHONE 282 -9596
CONTRACTOR S. -
ADDRESS 201 Elliott Avenue West, Suite 400, Seattle, WA
ZIP 98109
WA. ST. CONTRACTOR'S LICENSE # SABEYC141PH
EXP. DATE
12 -31 -89
ARCHITECT N/A
PHONE
ZIP
ADDRESS
USE -)
FLOOR
FEET
/
occ.
LOAD
(:01)1 ('Or.11 t Intl ;I
/ / / /
SQUARE OCC. SOUAFE occ. sOLIARE occ. MU NE OCC.
TOTAL
FEET LOAD FEET LOAD FEET LOAD_ FEET LOAD SQUARE FEET OCC LOAD
TOTAL
4
TOTAL,
4
4
TYPE OF CONSTRUCTION: UBC EDITION
. SETBACKS: N - S -
E -
hereby certify that I have read and amined this permit and know the same to be true and correct. All provisions
of law and ordinances governing this work wiN be compiled 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 performance or work. I am authorized to sign for and obtain this building permit.
F{RE PROTECT{ON
OSprUklen O Detectors ®NSA
UTILITY PERMITS REQUIRED
yes O
1rf0" h
Puckworiul
ZONING: C -M BAR/LAND USE CONOITIONS0Yes Q No
^,
_
CONDITIONS (other than those noted on or attached to permit/pians):
APPROVED FOR
ISSUANCE BY:
BUILDING
J'"■4" OFFICIAL
DATE:
1 - n� -e,
hereby certify that I have read and amined this permit and know the same to be true and correct. All provisions
of law and ordinances governing this work wiN be compiled 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 performance or work. I am authorized to sign for and obtain this building permit.
SIGNATURE:
/, %�� ,,- 'C�
. v- � j"
�
DATE: // 5' �7 f�
COMPANY: � r- . e•
PRINT NAME:
This permit shall become null and void if the work is not commenced within 186 days freiti the date of
issuance, or if the work is suspended or abandoned for a period of 180 days from the last Inspection.
CERTIFICATE OF
OCCUPANCY NO.
DATE ISSUED:
G
°ItE #f? JGt*u`�iai 3 +st 3tt; : trsa T.
CITY OF TUKWILA
Building Division
Tukwila,,tWashingtonu198188
(206) 433 -1849
+dr.+ iN.* + tiwntrecl coffst*%nroUV;t uslaweaWV2zU :ditlA A:6',' ,er_1 1014c '6 2�tin115�
INSPECTION RECORD
PERMIT # 1 S3
Date 3-1-9
Date Wanted a.m. p.m.
Project €ffle_ 1'""
Phone # GrGa —9561(-0
Type of Inspection s I'1.o3
Site Address �?� J f\v 5
Requestor .QS i CS`.QJ
Special Instructions
Inspection Results /Comments:
Inspector
Date
CITY OF TUKWILA
6200 SOUTIICENTERBIOULEVARD, TUKIV/LA, WASHINGTON 98188
April 4, 1990
PIIONE # (206) 433.1800
Security Pacific Bank Washington, N.A.
International Division
P.O. Box 3966
Seattle, WA 98124
Cary L. VanDnsen, Mayor
RE: Letter of Credit STB -61811
Sabey Corporation
P.O. Box 9847
Seattle, WA 98109
Attn: Dwight Sawtell
The City of Tukwila hereby authorizes the bond of $10,000 (Ten
Thousand US Dollars Only) to be released to Sabey Corporation.
The project known as EMCP Expansion (Residential Demolition) has
been completed to guaranty compliance with TMC 16.04 for
Demolition of Structures. The final sign off was completed on
April 3, 1990.
Sincerely,
Shellie Bates
Permit Technician
Enclosures
cc: Dwight Sawtell, Sabey Corporation
Ken Stickley, Sabey Corporation
EMCP Permit Files
*ILA �4
City of Tukwila
_1909
6200 Southcenter Boulevard
Tukwila Washington 98188
(206) 433-1800
Gary L. VanDusen, Mayor
Plan Check M89 -248: EMCP
12530 35 Av S
THE FOLLOWING COMMENTS APPLY TO AND BECOME PART OF THE APPROVED PLANS UNDER
TUKWILA BUILDING PERMIT NUMBER__,] Z50__.
1. All permits, inspection records, and approved plans shall be
posted at the job site prior to the start of any construction.
2. All construction to be done in conformance with approved plans and
requirements of the Uniform Building Code (1988 Edition), Uniform
Mechanical Code (1988 Edition), Washignton State Energy Code (1989
Edition), and Washington Stae Regulations for Barrier Free
Facility (1989 Edition).
3. Validity of Permit. The issuance or granting of this permit or
approval of plans, specifications and computations shall not be
construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other regulation or
ordinance of this jurisdiction. No permit presuming to give
authority to violate or cancel the provisions of this code shall
be valid.
4. Comply with requirements of the Noise Ordinance, TMC 8.22.
Construction noise is not allowed between the hours of 10:00 p.m.
and 7:00 a.m.
5. Comply with the requirements of TMC 16.04, Demolition /Relocation
of Structures.
6. Remove all weeds, concrete, stone foundations, flat concrete,
concrete patios, masonry walls, garage floors, driveways and
similar structures and all loose miscellaneous material from such
lot or parcel of ground, properly cap sanitary sewer and water
connections, propertly fill or otherside protect all basements,
cellars, septic tanks, wells and other excavations.
7. Obtain required inspections from appropriate water and sewer
districts. Proof of approval shall be provided by the Tukwila
Building Division prior to scheduling the final inspection and
releasing of bond.
8. Removal of septic tanks require approval and compliance with
permit and inspection requirements through King County Health
Department (344 - 6000).
SECURIct PACIFIC BANK WASHINGC UN, N.A.
INTERNATIONAL DIVISION
P.O. E3ox 3966. Seattle. Washington 98124 U.S.A.
July 10, 1989
City of Tukwila
6200 Southcenter Boulevard
Tukwila, Washington 98188
We hereby ssue our Irrevocable Standby Letter of Credit STB -61811
in your Favor for account of SabcY Corporation
201 Elliot Avenue, Suite 400
Seattle, Washington 98119
USA
and hereby authorize you to draw en us at sight up to the
aggregate amount.of USD 8,000.00 (EIGHT THOUSAND AND NU /100 US DOLLARS)
against presentation of yotr written request for such payment and
tree Original Letter of Credit.
This Letter of Credit is issued n connection with cans ruction of the
project known as EMCP Expansion (Residential Demolition) located at
1. 12506 - 37th Avenue South, Seattle, Washington
2. 12540 - 35th Avenue South Seattle, Washington
3. 3722 - South 126th, Seattle, Washington
4. 3704 - South 126th, Seattle, Washington
to guaranty compliance with TMC. 16.04 for Demolition of Structures.
It is understood that the nature and extent of the work is defined
by the approved plans and conditions contained in the City of Tukwila
File No. q -/(c5- - 39-/6,9 .
If, in the sole determination of the City Engineer and /or Planning
Director, the above-referenced improvements are not completed as
required by the approved plans, conditions and applicable City
standards at the above location, no later than January 8, 1990
or until released in writing y the City of Tukwila, whichever
occurs first, Security Pacific Bank Washington agrees to pay
to the City of Tukwila the suns of USD 8,000.00, upon receipt
of written request for such payment.
Drawings under this Letter of Credit must specify the number
of this Letter of Credit and be presented at Security Pacific Bank
Washington.; 1301 Fifth Avenue Rainier Bank Tower 22nd Floor Letter
of Credit Dept., Seattle, Washington USA on or before January 8, 1990.
The Credit sets forth in full the terms of our obligation to you,
and such undertaking hall not in any way be modified or amplified
by any a reement in which this Credit is referred to or to which
this Credit elates, and any such reference shall not be deemed to
incorporate herein by reference any agreement.
Wg engage with you that drawings under and in compliance
with the terms of this Credit will be duly honored.
Except so far .as otherwise expressly stated, this documentary
Credit is subject to rue "Unitorlp Customs and Practice for
Documentary Credits" 1983 Revision), International Chamber of
Commerce Publication No. 400.
Sincerely,
Please note that Security Pacific
Rainier National Bank.
SECURIT[ PACIFIC BANK WASHING( N, N.A.
INTERNATIONAL DIVISION
P.O. Box 3966, Seattle, Washington 98124 U.S.A.
Date of amendment: September 5, 1989 Amendment no. 01
In reference to documentary credit dated: July 10, 1989
*
BENEFICIARY
•
*, OUR NO.- - - * - -- ADVISING BANK N0. -*
!City of Tukwila
:6200 Southcenter Boulevard
:Tukwila, Washington 98188
:USA
*
STB -61811
APPLICANT
:Sabey Corporation
:PO Box 9847
:Seattle, Washington 98109
:Attu Dwight Sawtell
* *
The above mentioned credit is amended as follows:
Letter of credit amount increased by USD 2,000.00
(Two Thousand US Dollars Only)
for a now total of USD 10,000.00
(Ten Thousand US Dollars Only)
Add the followi
5. 12500 37th
6. 12504 35th
7. 12510 35th
8. 12501'37th
9. 12505 37th
10. 12515 37th
11. 12511 37th
12. 3530 South
13. 3716 South
14. 12525 37th
15. 12516 37th
16. 12535 37th
17. 12522 37th
18. 12530 35th
19. 3404 South
ng addresses to the four p
Avenue South, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
126th Street, Seattle, WA
126th Street, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
Avenue South, Seattle, WA
126th Street, Seattle, WA
reviously listed
98168
98168
98168
98168
98168
98168
98168
98168
98168
98168
98168
98168
98168
98168
98168
All other terms and conditions remain unchanged.
Except so far as otherwise expressly stated, this documentary Credit
is subject to the "Uniform Customs and Practice for Documentary Credits"
(1983 Revision), International Chamber of Commerce Publication No. 400.
Sincerely,
Security Pacific Bank Washington
Formerly Rainier National Bank
•••••
— • .
KING COUNTY
RESIDENTIAL PROPERTY RECORD
f 1 1 f 1 'V
MAJOR
3 Addition
bJlE(41IoI41 1 1/410 1 1 1
MINOR
2 FOLIO
0
0
1 1 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1
Block
099 SHEET
.CQM11.
OP
Situ'
7 Address i
/1,1 5310b1c1 01141 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 L 1 1 1
8 Description
5 Area
Sub Area
6 Zip 98
9 LAND ONLY
UNDERWATER TIDELANDS
107
108
110
111
113
114
115
116
Zone Actual
Zone Conformity
H•t. & Best Use
Unit
Lot Width
Lot De th
S uare Foot or Acres
Lot Width or Acres (useable)
Lot Depth (useable)
Lot Wd. (standard)
Lot Depth (standard)
Unit Value
Representative Site
Irregular
Corner
Grade
Slope
1111191111,111111111111
BI
Street Access
Water Front
sock Suitability
Tide Land
Alley
Cul De Sac
Thru Street
Street Front
R'
Curbs & Gutters
Sidewalks
Street Surface
Street Condition
Street Traffic
Street LI hts
Water
Water System
WD 2 PR
rAD 2 1A
2Y
2Y
1•!. 2P
Sanitary Sewers
Storm Sewers
PERMIT INFORMATION
Under round Utilities
No. Date Issued P V
Date Const. Started Date Completed
Date Occupied
Remodeled
PLAT OF BUILDING
. • . • • • ...,
'
• ;
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VIEW
Scale 1 CM ../0
View Lot
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NEIGHBORHOOD AND TOTAL PROPERTY
51 Predominate
Arch. Attractive ess
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'61
Unit Balance
Esmts. & Restrs.
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STAFF
170 Land Data Date
I 71 Apr& •••• No.
,,,,•;„....„
CE(T I FICATE OF INSURANCE
DATE (MM /DD /YY)
07/07/89
PARKER, SMITH & FEEK, INC.
1700 First Interstate Center
999 Third Avenue
Seattle, Washington 98104
nsured
SABEY CORPORATION
201 Elliott Avenue West, #400
Seattle, Washington 98119
This certificate Is issued as a matter of information only and confers no
rights upon the certificate holder. This certificate does not amend,
extend or alter the coverage afforded by the policies below.
Companies Affording Coverage
Company A
Letter
-Company 8
Letter
AETNA CASUALTY & SURETY COMPANY
Company C
Letter
Company D
Lotter
Company E
Letter
overages CC CC C(' CC C'C CCCC' C@ CCCCC CCC'C'CCC'C'C'CCCCCCCCCCCCCCCCC
s s o cer y a po c es o nsurance
)eriod indicated. Notwithstanding any requirement, term
rhlch this certificate may be issued or may pertain, the
s
e
•
•
e
CCCTC CCCCCC CCCC CCCCCCCCCCC CC CC'C CCC C.0 CCCCCCC 'CCCFCCC'CC'C'CC'CCC'C'CC'CCC
0
w eve een ssue o e nsure name wove or e po cy
or condition of any contract or other document with respect to
insurance afforded by the policies described herein is subject
•
•
:o all the terms, exclusions, and conditions or such policies. Limits snown may nave
peen reauceo py paio claims.
Co
.tr
Type of Insurance
Policy Number
Policy Effective
Date (MM /DD /YY)
Policy Ekpiratiord
Date (MM /DD /YY)
Liability Limits IN THOUSANDS
Each Occurrence Aggregate
A
General Liability
X Commercial General
81ACM5463275CCS
12 -31 -88
12 -31 -89
General Aggregate
$ 2,000
Liability
Claims Made
Products - Comp /Ops
Aggregate
$ 2,000
X Occurrence
Personal & Advertising
Injury $ 1,000
Owners and Contractors
Each Occurrence $ 1,000
_
Protective
Fire Damage (any one
fire) $ 50
Medical Expenses
(any one person) $ 5
1
Automobile Liability
X Any Auto
081FJ905543CCA
12 -31 -88
12 -31 -89
Bodily
Injury
Per Person $
All Owned Autos (Priv.
All Owned Autos ( other)
Injury
Per Accident $
"— than Priv. Pass.)
Hired Autos
Property
Damage $
rNon-Owned Autos
Garage Liability
BI & PD
Combined $1,000
Excess Liability
Form
BI & PD
Combined $ $
_Umbrella
Other Than Umbrella
Workers' Compensation
and
Employers' Liability
Statutory
$ Each Accident
$ Disease- Policy Limit
$ Disease -Each Employee
Description of operations /locations /vehicles /special items
East Marginal Corporate Park Expansion
CERTIFICATE HOLDER @@@@@@@@@@@@(@@@@@ 0 @@@@ @@@@@@@@@@@@@@@@@ @ @@@@@@@@@
CANCELLATION
CITY OF TUKWILA
6200 Southcenter Blvd.
Tukwila, WA 98188
AC25 -S (11/85)
SA.05 /cert.78
Should any of the above described policies be can-
celled before the expiration date thereof, the
issuing company will endeavor to mail 30 days
written notice to the certificate holder named to
the left, but failure to mail such notice shall
impose no obligation or liability of any kind upon
the company, its agents or representatives.
rized i(epr snt ti e;
INSIDE.
• REPAIR=..:
DDOSIT
VAL VUE SEWER DISTRICT
APPLICATION FOR
/�egaE SEWER PERMIT
•
muff N —° 03668
EASEMENT N.._
CARD NA.-.
OATR. -a? _er C%
OWNER-
NOUSE ADDRESS......._.. �. RARRMt1Ri
CONTRACTOR.
NAME 11111-DIVISION
DISTRICT APPROVAL EY....1n� #4• t4
y
TEST RESULTS. ...1A „1
LOTNw .»..».........__. ........ ILL Nw. ...»._....... »......._..- ..»..»
SCALE
C & oe crr P1.1•9
DATE H -4/ 0-16 -89
1 HERESY CERTIFY THAT THE ABOVE CONNECTION HAS SEEN
MADE AS SHOWN, PR OR TO SACKPILL
SY, t) Y'' GATE 8 -■Si
List of Addresses Needing Application for
Sewer Disconnect Permits
c rar BATE
1. 12500 4th Avenue South, Seattle, WA 98168 8--3
2. 12504 35th Avenue South, Seattle, WA 98168 8-3
3. 12510 35th Avenue South, Seattle, WA 98168 3
4. 12501 37th Avenue South, Seattle, WA 98168 E5-3
5. 12505 37th Avenue South, Seattle, WA 98168 a -3
6. 12515 37th Avenue South, Seattle, WA 98168 B .- 3
3704 South 126th Street, Seattle, WA 98168 8 - 3
12511 37th Avenue South, Seattle, WA 98168 8-3
7.
8.
9.
10.
3530 South 126th Street, Seattle, WA
3716 South 126th Street, Seattle, WA
3�?,2
11.@4` South 126th Street, Seattle, WA
12. 12525 37th Avenue South, Seattle, WA
13. 12516 37th Avenue South, Seattle, WA
14. 12535 37th Avenue South, Seattle, WA
15. 12506 37th Avenue South, Seattle, WA
16. 12522 37th Avenue South, Seattle, WA
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98168 6-0
98168 8-)6
98168 8.145
98168 8 • )
98168 8-re
98168 8-1
98168 a - 1 8
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5/26/89
8-2.3 -e(3
BUILDING PERMIT APPLICATION TRACKING
PLAN CHECK
NUMBER
PROJECT NAME
E_m c p
SITE ADDRESS 15- 5o 35 tki
SUITE NO.
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)
OCC.
LOAD
SQUARE
FEET
0cc.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OM.
LOAD
TOTAL
SQUARE FEET
TOTAL OCCU-
PANCY LOAD
DEPARTMENTAL REVIEW
"X" In box Indicates which departments need to review the project.
BUILDING -
initial review
(ROUTED)
TiiN ' bats b« ..; >::««<:r: >:<:::::::: >_:: Ode rOVOCi •
O FIRE
FIRE PROTECTION: [ 1 Sprinklers [) Detector ® WA
INIT:
FIRE DEPT. LETTER DATED:
INSPECTOR:
O PLANNING
ZONING: C
INIT:
(4 PUBLIC
WORKS
INIT;
O OTHER
PAR/LAND USE CONDITIONS? [ iYes VNo
REFERENCE FILE NOS.:
MINIMUM SETBACKS: N- S- E- W-
UTILITY Pews REQUIRED? P Yes n No
PUBLIC WORKS LETTER DATED: ?W Li Pip .
47 ,0N -uv/X z J7 &__ •
INIT:
BUILDING - ,��
final review INIT:
CONSTRUCTION:
UBCEDmON (year):
REVIEW COMPLETED
PERMIT NO.
CONTACTED
DATE READY
DATE NOTIFIED
C7 - aQ — 9 �
_l t
(Init.)..
j
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(Init.)
AMOUNT OWING
Ch
3RD NOTIFICATION
BY:
(Init.)
BUILDII3 PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
FEES (for staff use only)
vcvv ODUlf KA ncrr► OLIGIIIIVOILI, 1 Unnna •.rs a•• i w�
(206) 433 -1849
DESCRIPTION ;:;; >;: >:<
. ;> AMOUNT'
RCPT; 0
DATE;
BUILDING PERMIT. FEE
liEFtBaIIIMMIIIIIIN
n
T'T'L �� r�vN MUST BE
Flt .LFL) OUT COMPLETELY
PLAN CHECK'
BUILDING SURCHARGE
ENERGY SURCHARGE..
OTHER ;:.:..a lai%
# .:#
*.e.
- - ■
TOTAL _
t,
SITE ADDRESS SUITE #
/ P. 5 2 3S .1` 4 ✓/s_-So Se, .9/66
VALUE OF CONSTRUCTION - $
SO r
PROJECT NAME/TENANT ar ,� �'
g7A5 -7L ,� 2 r"- 4- / !A R/ C ,r: •1��. Ar,*
(
ASSESSOR ACCOUNT #
% 3 Y 5 6 O- O y/ - Co
TYPE OF New Building A dition Te ant Improvement (commercial) Demolition (building)
WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) 0 Other.
DESCRIBE ORK TO BE DONE:
e,vi d , C uk P CAA 1 (ilit 5, rvfYwY'G GiAui ecv
BUILDING USE (office, warehouse, etc.) �J
NATURE OF BUSINESS: .ec 4- / e._--2s- A. IJe ,...,-c_ 11 .e...---674"
WILL THERE BE A CHANGE IN USE? LNo U Yes IF YES, EXPLAIN: /
SQUARE FOOTAGE - Building: Tenant Space: Area of Construction:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE
BUILDING? 0 No 0 Yes IF YES, EXPLAIN:
PROPERTY OWNER ___\-"4, ,fi'.7y 69 id'
PHONE o2 8 2— Fs 9,4-
ADDRESS
IZII "e /D �1
!
g- c%' ( . -Mo /7 ,4= ✓,z yC�O --S-a• 1.
'CONTRACTOR 5 e- _ ,�}- �o .---t&_
PHONE
ADDRESS
ZIP
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
ARCHITECT
PHONE
ADDRESS
Z P
1 HEREBY CERTIFY THAT':;1 HAVE RF. D AND:'EXAMINED THIS APPLICATION AN[
TRUE! AND. CORRECT' :ANl7 t AM.AUTHORIZE.D TO APPLY FCSR THIS PER MIT: >` `.: `
KNOW THESAM ' ?TO BE
:`° ,..:: < >::::.....>:
.9
BUILDING OWNER
OR
AUTHORIZED
AGENT
SIGNATURE �/
DATE , /,
PRINT NAME 1�.,., 7/.
`'� � 4
PHONE a Sa 7,5— 9' -
CITY /ZIP�c� 0,250,/z)
ADDRESS .� p / �''I %b ,27, 4 ft
CONTACT PERSON „_ ,.5. -1A ,may
PHONE
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill
out the 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 133 -1851 prior to
submitting application. Wall 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 433 -1849.
DATE APPLICATION ACCEPTED
9- t
DATE APPLICATION EXPIRRE S,
03/30/8
COMMERCIAL
S613MITTAL CHECKLIST
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