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HomeMy WebLinkAboutPermit B93-0443 - ANDERSON RESIDENCE - PRE-MOVE INSPECTIONThis record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. B93 -0443 Anderson, John 4201 South 146th Street RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = Brief Explanatory DeSctiptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 9 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. n,Ita;,• " 2t 0 C4 .1 .14 City of Tukwila John W Rants, Mayor Department of Community Development Rick Beeler, Director October 12, 1994 Melinda Kludsikofsky Contractors Bonding and Insurance Company 1213 Valley Street P.O. Box 9271 Seattle, WA 98109 -0271 Re: Bond. No. WA6497 Dear Ms. Kludsikofsky: On October 11, 1994 our office received a STATUS form for John James Anderson's relocation of one building. We hereby authorize the release of Bond No. WA6497 in the amount of $25,000'for MEOVegagagat4 ° ;' The final inspection was completed on September 19, 1994 by the building department. If you have any questions, please call me at (206) 431 -3671. Sincerely, g. --pot_Qc) Shellie L. Bates Permit Technician • Enclosure cc: City Clerk espaoltemovir 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington* 98188 (206) 4313670 • Fax (206) 4313665 CBIC CONTRACTORS BONDING AND INSURANCE COMPANY PRINCIPAL: JOHN JAMES ANDERSON CONTRACT AMOUNT $: $25,000.00 3q5'- 0L11,3 DESCRIPTION: RELOCATION OF BUILDING PERMTPB92..0310 CITY OF TUKWILA - DEPT. OF COMMUNITY DEVEL. 6300 SOUTHCTR BLVD #100 TUKWILA, WA 98188 0C1' 719`►ii Date: STATUS BOND NO: WA6497 CONTRACTORS BONDING AND INSURANCE COMPANYis Surety on the above Bond. We will appreciate your cooperation in providing the information requested below, and returning the form to us so that we may have current status information on the captioned job. A business reply envelope is enclosed for your convenience. Thank you for your assistance. Yours very truly, Melinda Kludsikofsky 10/07/94 IF THE CONTRACT HAS BEEN COMPLETED: 1. Completion date? Date of final acceptance or expected final acceptance? 2. What date does contractual warranty period end? 3. Final contract price? (Including applicable taxes) Has full amount been paid? 4. Was the work satisfactory? Have all labor and material bills been paid? IF THE CONTRACT HAS NOT BEEN COMPLETED: 1. Percent of work completed to date? 2. Total amount paid to the Contractor to date $ Amount of retainage held? $ 3. Is the Contractor paying his labor and material bills? Anticipated date of completion? 4a. Is the work progress satisfactory? b. Is the quality of the work satisfactory? 5. If the answer to No. 4a or 4b is no, please explain. 6. Please provide any other information you feel would be helpful in evaluating the contractor REPLY TO OFFICE MARKED BELOW 0 0 0 ❑ 0 ❑ 0 0 Finn: By Date. Address' Telephone' Home Office: 1213 Valley Street, P. 0. Box 9271, Seattle, WA 98109-0271, (206) 622 -71 Oregon: 1827 NB 44th Ave., Suite 100, P. 0. Box- 12053, Portland, OR 97213, (503) 287. Nevada: 6600 W. Charleston Blvd., Suite 132, P. 0. Box 26990, Las Vegas, NV 89126.09 Phoenix : 2201 East Camelback Road, Suite 50513, Phoenix, AZ 85016, (602)956-6000, (801 Tucson : 940 North Finance Center Dr., Suite 180, Meson, AZ 85710 (602) 885.7337, (1 Texas. 122 W. Carpenter Fwy., Suite 490, Irving, TX 75039, (214)717-0116, (800) 873.1 North Carolina: 2828F I -85 South Service Rd., Charloue, NC 28208, (704)391-1011,1 Sunrise: 7771 W. Oakland Park Blvd., Sunrise, FL 33351. (305)741-9803, (800) 688-C131 Melbourne: 200 South Harbor City Blvd. Suite 402, Melbourne, FL 32901, (407) 722.17: OWISTRttATUTORMSVP000010ARM coPreck per r ni-t• n u tuber _ -C r -Eh i5 bond is s X3.01{43. ?ev nn \* Ala - O33O L -co( (Q\ r oz k . "Mock bond • Na • ,Eon 33tcD U3O 7 t;- QA- e.o& -2 or \o\rk.r -)i .v ill . ;92 ...ACOIS,WR CERTIFICATE. OF INSURANCE ' PRODUCER Dave Pizur & Associates, Ltd. 18000 W. Sarah Lane, Suite 120 Brookfield, WI 53045 (414) 792 -1100 INSURED Redmond Movers, Inc. 10503 268th Avenue, N.E. Carnation, WA 98014 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DD/YY) DATE (MM/DD/YY) RECEIVED NOV 1 8 1993 TUKWILA PUBLIC WORKS DATE (MMIDD/YY) __ 10/05/93 __- 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 Travelers Insurance Company COMPANY B COMPANY C COMPANY UMITS GENERAL LIABILITY A }(} COMMERCIAL GENERAL LIABILITY I-1 CLAIMS MADE 1 �(� OCCUR QWNER'S & CONT PROT 660- 712J0040 AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED AUTOS . SCHEDULED AUTOS rXJ HIRED AUTOS X NON•OWNED AUTOS GARAGE LIABILITY ANY AUTO . EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM ~� WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER I VV' INCL EXCL 810- 712J0040 •DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/SPECIAL ITEMS 11/12/93 GENERAL AGGREGATE ! $ 1,000 , 000 11 / 12 /94 ! PRODUCTS•COMP /OP AGG 1 $ 1 , 00Q., 000 f PERSONAL & ADV INJURY I $ 1 , 000 , 000 I EACH OCCURRENCE I $ 1,000,000 FIRE DAMAGE (Any one fire) I $ 50,000 5,000 11/12/93 11/12/94 The City of Tukwila is named as additional insured. CERTIFICATE HOLDER City of Tukwila 6300 Southcenter Boulevard Tukwila, WA 98188. ATTENTION: John A. Pierog Public Works Department ACORD 25 -S (3/93) MED EXP (Any ono person) COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY I(Par accident) i 1,000,000 PROPERTY DAMAGE AUTO ONLY • EA ACCIDENT $ OTHER THAN AUTO ONLY: ' EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ AGGREGATE STATUTORY LIMITS EACH ACCIDENT $ ' DISEASE • POLICY LIMIT S DISEASE • EACH EMPLOYEE . $ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ¶n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE r GACCOWBORPORATION 1993 CONTACT BID DOCUMENTS Prcposal c. 69'5-0(1145 a(i$ not 6Qok -t c b Cleyk j j Jc5 P -14 7 ECERIED PERFORMANCE BOND CBIC BOND NO. WA6497 Bond to City of Tukwila, Washington cry TUivu KNOW ALL MEN BY THESE PRESENTS: DEC 9 1993 That we, the undersigned, JOHN JAMES ANDERSON PERl11� CENTER principal, and CONTRACTORS BONDING AND INSURANCE COMPANY a corporation, organized and existing under the laws of the State of WASHINGTON , as a surety corporation, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as surety, are jointly and severally held and firmly bound to the City of Tukwila, Washington, in the penal sum of (written amount) WENTY- FIVE T}-IOUSAND AND S*** ($25,000.00***** ) , the payment of which sum on demand we bind ourselves and our successors, heirs, administrators or personal representatives as the case may be. This obligation is entered into in pursuance of the statutes of the State of Washington and Ordinance of the City of Tukwila, Washington. Dated at Tukwila, Washington, this _ day of DECEMBER , 19 93. Nevertheless, the conditions of the above obligations are such that: WHEREAS, the City of Tukwila on the day of DECEMBER ,1993 , let to the above written bounden principal a certain Contract, the Contract being numbered' and providing for REECCATICN OF BUILDING . which Contract is referred to herein and is made a part thereof as though attached hereto, and WHEREAS, the said principal has accepted, or about to accept, the said Contract, and undertake to perform the work therein provided for in the manner and within the time set forth: NOW, THEREFORE, if the above bounded principal shall faithfully perform all of the provisions of said. Contract in the manner and within the time therein set forth, or within such extensions of ,time as'may be granted under said ,Contract, and shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply principal or subcontractors with provisions and supplies for the carrying out of said work and shall hold said City of Tukwila, Washington, harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said principal or . any subcontractor or performance as specified in said Contract, and The Surety, for value received, herein stipulates and%agrees that no change, extension of time, alteration or addition to the terms of the Contract or the work to be performed thereunder, or the specifications accompanying the same, shall in any way effect its obligations of this bond, and it does hereby waive notice of any such change, extension of.time, alteration or addition to the terms of the Contract or to the work or the specifications. CONTRACT BID DOCUMENTS Proposa CBIC BOND NO. WA6497 P -15 PERFORMANCE BOND (continued) PROVIDED,: however, that after the acceptance of this Contract and the expiration of the lien period, and if there are not liens pending, then the penal sum of this bond, shall be reduced to the sum of 1W0 THOUSAND FIII.HUNDRED AND NO /100'S ** *($2,500) (10% of estimate) dollars, to insure against defects appearing or developing in the material of workmanship provided or performed under this'Contract within a period of one year after acceptance; notwithstanding the reduction of this bond, the principal and surety shall hold the City of Tukwila harmless from all defects appearing or developing in the material or workmanship provided or .perfo_-med under this Contract, within a period of one year after acceptance, then and in that event this obligation shall, be void, but otherwise it .shall be and remain in full force and effect`. It is hereby expressly agreed that if any legal action is necessary to be brought under the conditions of this bond, that the decision of the Courts of the State of Washington shall be binding. IN WITNESS WHEREOF the above-bounded parties have executed this instrument this :PI' day of DECEMBER , 1593 Countersigned: By: JOHN JAMES ANDERSON Principal CONTRACTORS :.' 0 MD INSURANCE COMPANY • ERIC SIRKIN Attorney in Fact Surety Resident Agent Approved by: Resident Agent's Address 1. LIMITED POWER OF ATTORNEY r READ CAREFULLY CONTRACTORS BONDING AND INSURANCE COMPANY IS RESPONSIBLE ONLY FOR THE BOND DESCRIBED AND UP TO THE AMOUNT SET; FORTH IN THIS I.IMtTED`;, • POWER OF ATTORNEY: ANY ERASURE WILL VOID THIS POWER OFATTORNEY. IF YOU HAVEANY. QUESTIONS ABOUT OR WANT TO VERIFY THIS POWER OF ., ATTORNEY CALL CONTRACTORS BONDING AND INSURANCE COMPANY TOLL FREEAT 1 (800)765.2242 • Panal.SumS• $25 , .0 0 0•; 0 0` • Altorne'No, E E 0 2 1 PowerNa. 0 3 1 5 7 6. . Bond No. WA'6497 3/09:/94 1270.9/93.;.. Limited Power of AUorney Expires Date Approved: Approved by, •_G�..r:�__ . Charles J. Falskow `: .... . ; t9ronawtel . . , • lPtintNam) Nameof Principal: ,JOHN. JAMES.':ANDERSON Name,ofObIigea: :.CITY 'OF.;.TU.KW. I LA;;• WASHINGTON : •• .D.. ;.<....,.•• RELUCA." 1'. 1U .N:••,.UP`....I3;U.'I,Lai,ING: f>ascription(s): • Lticeticn :(If. Applicable): "r W n ::. • :.;::., • KNOW ALL MEN BY THESE PRESENTS that CCNTRACTCRS BONDING AND INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of Washington, and having its principal oHico n altl s e a , tGng County, Washington, dons bytheso presents rake, constitute and appoint E R I C S I R K I N of SEATTLE A is true and lawful ottorneyin•foct, with full power and authority horoby conferred In its name, place and stead, to oxecuto, acknowledge and dolivor tho bond(s) deacribod above; and to bind the Company thereby as fully and to the same extent as if each such bond was signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary; hereby ratifying and confirming all that the 1 i (ehtpr�loy injt)t3 may do In the premis es. SaId appointment is made under and by authority of the following resolutions adopted by the Board of Directors of CONTRACTORS BOPWINGAPD INSURANCE COMPANY on 1 / U. RESOLVED ditto President isatrthoriz edto appoint roatmey•Infoaof the Comparty ERIC S I RI( I N wrh power and cahootytosignonbehrlof tho Company the surety bonds which may from time to Limo be approved by tine Vice Presidont, Chief Financial Olfeer, President or Chief Executive Officer of tho Company, In such penal sums and according to such conditions as may be approved by the Vice President. ChIel Financed Of fcer, Presider, or Chief Executive Officer of the Company RESOLVED FURTHER Ugleach Power of Attorney must set forth the spoci(ic dosed pti on of tho bond to which ilapatios, the namo of the principal tho namo of the obligoe.lino poro l sum, the bond number (except for a bid bond whore ,hem is no number), the dentitying number of the saorneyin•fact, the identiying number of the Power of Attorney, and tho name and ,tgnaturo of tho Vice President, the Chef Fnarcial Officer, Prosidont or the Chief Executive Officer of tho Company; and may set forth the description and amount of additional reinsumnco or colbteral, if any. RESOLVED FURTHER Drat Ua Chief Executive Officer, Prosidort4 Chiof Financial Officer or Vico Presdart of the Company is authorized to estabtlri a specific expiration data for tho Power of Attorney and to noddy thatdate from time to time as tho Chief Executive Officer, President, Chief Financial Officer or Vico Preeidont deems necessary in his solo discretion; to epplicablo expuauon date to be clearly eat Ionh In any written Power of Attorney. RESOLVED FURTHER that, except as otherwise provided In the immediately succeeding resolution, under no circumstances sink (a) tho contract amount tor any bid, payment, performanco, or combination payment and performance bond (lo., 0 porformarxe and payment obligation In one bond form/ exceed s1,790,000 If the bond Is guaranteed by the Small Business Administration; (b) the penal sum of any bond not guaranteed by Uu Small Business Admhtistrati on (other thane bid bond which is father reatrctod by clause (c)) exceed $7,000000; and (c) a bid bond which is not guaranteed by tho Smolt easiness Admniaration to executed fora job where, if Uto contend is awmrded, the bond porolty on any pertornonce bond. payment bond, or combination per totmanco and paymentbond (Le., s pedormaneo and payment obligation in ors bond Corm) to loo exocuted pursuant to tho bid bond is to exceed 57,000,e00 RESOLVED FURTHER that above named Attorney•infao is grmad power ord authority to exceed ere applicable penal limits set forth In the im mod body preceding rosoluion for my bond in an amount ogwl to the amount of any addronal reinsurance or of any can, letter of credit or other security received m collateral seventy by the Companyoe inducement to Issue the bond, so long to the description and amount of additional reinaurant or colbtoml preset forth in the Povar of Attorney. RESOLVED FURTHER dandle au honty of the Secretary of tho Co merely to certify the authenticity and olloctivoness of the foregoing rosofutions in any Limited Power o(Attorney is levelly delegated to the following bosom, the signature of any of the following to bind the Company with respect to tho anhontiaty and oacctivoneae of the (orryong row luuoraa as it sigrod by tie Socrotivy of to Company: Donald Su kin, Stevan A. Gaines, Marc A, Mrkticka, and CMrbs J. Folakaw, RESOLVED FURTHERtt ntthesignatume( Includngcer tificationthat thePoworofAttomoy still in orce and effect) of the Chief Executor; Olfmer, President, Chief Financial Officer, Vice President md Notary Public, and discorporate and Notary seals apposing on my Limited Power of Attorney containing this and the foregoing resolution m well as the Limited Power of Attorney Awl and its tr0nsrmsvlon, may loo by fascimie; and such Limited Power of Attormy sioa be damad an original h dl aspects. RESOLVED FURTHER that all resolutions adopted prior to today appointing Uo above romed as aaome•in•fact for tho Company are Mreby superseded, IN WITNESSWHrtRfr 4TF;'Ayc'T RSBONDWGANDINSURANCECOMPANYhascausedthesepresentstobesignedbyitsChiefExecutiveOfficer, President, Chief RnancialOfficer and VicePresident and it scorporate seal to be haste , 7 `,�,,� A ,,,t` CONTRACTJAI PINOINW141(NSURANCE COMPANY By," - EAR, L Donald Sirkin, Chief Executive Officer _ ; a ; oriel J, Folskow, Vice P dent //111°4.-11 d°0\'' .2979,,•' _ tit' ry G4.) , eielliA/ rtlgSH I ^By. Marc A. Mrkvicka, Chief Financial Officer Stevan A. Gains t, President STATE OF WASHINGTON — COUNTY OF KING 001 1 / 0 3 / 9 3 peroonaly appeared DONALD SIRKIN, STEVEN A. GAINES, MARC A. MRKVICKAand CHARLES J. FALSKOW, tome known to be the Chief Exocuive Officer, President, Chief Financial Off km' and Vic. President, rsepectivsly, of the corporation that executed the foregoing Limited Power of Attorney and acknowledged said Limited Power of Attorney to be the tree and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that they are authorized to execute the said Limited Power of ,Rcerfetrae,,, r,,•• % KAY, *,S,� . Bill. ••. F •. IN WITNESS WHEREOF, I have hereunto set my hand and affixedmy official se tj ancdyear yd.sItten, rO •:;�t`��b;��j5'" 1,7. 7..... ssss,,,, Notary Public "r the �of Washfngton, residing at Seattle The undorsgned, acting under authority of the Board of Directors of CONTRACTORS BONDMOAND INSURANCE COMPANY, hereby certifies, es or in lieu of Certificate of the Secretory of CONTRACTORS BONCtNG AND INSURANCE COMPANY, that the above and foregoing Is a full, true and correct copy of the Original Power of Attorney issuod by said Company, and door hereby further certify that the said Poor of Attorney is still in force and effect. GIVEN under my hand of Seattle , WA the 0 9 day of DEC 19 9 3. A1(091693) ASSIGNMENT OF FUNP:. TO CITY OF TUKWIL Financial Institution: US BANK (hereinafter "Bank" Applicant: REDMOND MOVERS INC. The above of $5000.00 is under the name of Tukwila the referenced bank hereby certifies that the sum on deposit.with the bank in account No. of REDMOND MOVERS INC.,. to secure for the City Applicants permit bond. The bank hereby certifies and agrees that these funds . will not be released without written instructions. from an authorized agent of the City of Tukwila. 'We further agree that these funds will be paid to the City of Tukwila within 10 days of receiving written notice that the required work has not been performed within applicable time limits or that the work has not been •properly performed. The bank shall have no duty or right to evaluate the correctness of appropriateness of any.such notice or determination by the City of Tukwila and shall not inter - plead or in,••any manner delay payment of said funds to the City of Tukwila. The applicant•hereby agrees to this assignment of funds and that its'obligation to perform the required work is not limited to ,the amount of funds held by the bank. 'This assignment of funds is irrevocable arid. cannot ,be cancelled by the bank or applicant. APPLICANT: RED,MON MOVERS 41/41, (S4.gnature) Linda M. Cook INC. (Name) (Title) le0.4 (Dat'e) ■ c. \ f .:i(i61.;j �.1 -� 1. BANK: . US BANK, Bear Creek Branch. (S'ignat (Date) (Ti$tle) 3-1 4 Z . (Name) . (Branch) (Address) •OMCMJq W — (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 BUILDING PERMIT Permit No: B93 -0443 Type: B -RELOC Category: RES Address: 4201 S 146 ST Location: 21210 20 AV S (SEATAC) Parcel #: 004000 -0705 Zoning: Type Const: Gas /Elec: Wetlands: Water: UNKNOWN Contractor License No.: TERRYAL085J3 TENANT OWNER CONTRACTOR Status: ISSUED Issued: 12/15/1993 Expires: 06/13/1994 Type of Occupancy: DWELLING Slopes: Sewer: ANDERSON JOHN ANDERSON JOHN JAMES 4219 S 146TH ST, SEATTLE WA 98168 T.A. LEE 11434 SE 68 ST, RENTON, WA 98056 Phone: 206 228 -1251 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: PRE -MOVE INSPECTION FOR HOUSE RELOCATION. FOUNDATION PERMIT FOR RELOCATED HOUSE. SETBACKS Units: 000: Front: Back: Buildings: 000 .Left: Right: Fire Protection: UBC Edition: Valuation: 87,952.00 Total, Permit Fee: 630.00 * * * * * * * * * * * * * ** _ r,..,. - ✓ - / Permit Center AU orized.Signature Date I hereby certify that I have read and examined 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 th'e..provisl,ons of any other state or local laws regulating constructlon'or.the performance of work. I am authorized to :sign for and obtain this building permit. Signature:_ Date: ,J7/,f,� Title: < Print Name: This permit shall become null and void :if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. All PERMITS ISSUED FOR NEW CONSTRUCTION, REMODELING, OR 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. " -,: C7 (206) 431 -3670 Building it irmit Applicatio Tracking PLAN CHECK NUMBER ens-- o 43 PROJECT NAME ir 4 ff SITE ADDRESS c?,e ,/ 5 i / Aa. %41 _ST ,C. v /- .1_. 4dz n'7 s h ' 2 a l,� SUITE NO. c- . INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. O Plan corrections shall be completed and approved prior to sending to the next department. sit Any conditions or requirements for the permit shall be noted in the Sierra system 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 ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. DEPARTMENT. DATE IN': DATE: APPROVED.. REQUIREMENTS / COMMENTS r BUILDING - initial review 5fr- (R UTED CONSULTANT: Date Sent - Date Approved - FIRE PROTECTION: • Sprinklers II Detectors ,j N/A FIRE - _ / FIRE DEPT. LETTER DATED: INSPECTOR: S-) Z INI 5-t ; 1 PLANNING /.21. /F'7 ZONING: JL BAR/LAND USE CONDITIONS? QYes L.) No REFEREN E ALE NOS.: INIT: Vlt MINIMUM SETBACKS: N- E- W- PU BLIC i ORKS ,PUBLIC 42- /3 9•3 UTILITY PERMITS REQUIRED? j ; Ye No WORKS LETTER DATED: . /,,7 ,g INIT:1 ✓ - 'YU ..1 -- -�.., i -fs 4- Zc ;.3 OTHER , or INIT: BUILDING - final review IZ 1%4113 TYPE OF CONSTRUCTION: \/N • CERT. OF OCCUPANCY? []Yes No UBC EDITION (year): (` `, �,Y ,/ INIT. A,-* ,r /.� BUILDING OFFICIAL l "l PS/ q_, INIT: tk- REVIEW COMPLETED AMOUNT OWING: 0.04 1 CONTACTED DATE NOTIFIED Sohn °15-93 2nd NOTIFICATION 3RD NOTIFICATION BY: (init.) BY: (init.) BY: (Init.) Oki \i'�C 15.0 01/08/98 CITY OF TUKWII Department of Co► /munity Development — Permit Cent 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Building Permit Application Tracking PLAN CHECK NUMBER 1' -OW PROJECT NAME SITE ADDRESS P\na -ey , hhri aiaiO acs !.v 3 SUITE NO. INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system 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 ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. I EPAFTMEI BUILDING - initial review 7FIRE O PLANNING 1 PUBLIC WORKS !1 & (ROL UIREMEN CONSULTANT: Date Sent - Date Approved - EDL_ FIRE PROTECTION: INIT: INIT: Sprinklers Detectors FIRE DEPT. LETTER DATED: INSPECTOR: N/A ZONING: BAR/LAND USE CONDITIONS? Yes REFERENCE FILE NOS.: INIT: MINIMUM SETBACKS: N- S- E- W- UTILITY PERMITS REQUIRED? (J Yes (1 No PUBLIC WORKS LETTER DATED: 0 OTHER INIT: O BUILDING - final review INIT: TYPE OF CONSTRUCTION: CERT. OF OCCUPANCY? OYes '0 No UBC EDITION (year): O BUILDING OFFICIAL INIT: REVIEW COMPLETED AMOUNT OWING: . CONTACTED DATE NOTIFIED BY: (init.) 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: (init.) 01/08/93 CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN UMBER K - -C�4`1;� BUILDII3 PERMIT APPLICATION DESCRIPTION BUILDING PERMIT FEE • PLAN •CHECK •FEE :. AMOUNT �ss.s-ti: RCPT # DATE SITE ADDRESS SUITE # o7 / /9e-4- .H? `-- ,/7 /:,-, t .,/,-,-.4,- 7" V LUE OF CONST RU9T IION $ . ' — 0' / Gz c''� ---- - - - -' PROJECT NAME/TENANT Pr\dQr3on, hei___ ASSESSOR ACCOUNT # od,000 _ OA' — 00 TYPE OF ❑ New Building U Addition ❑ Tenant Improvement (commercial) Li Demolition (building) WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other /r'�� O(A 7/OA/ DESCRIBE WORK TO BE DONE: /Woe., e .",;(.74(c,-(--, , /2-/e !/ti /'47€/ , <- -2 BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? kr No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: ,,e Tenant Space: Area of Construction: Wilk THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? Q No ❑ Yes IFYES, EXPLAIN: FIRE PROTECTION FEATURES: ❑ Sprinklers ❑ Automatic Fire Alarm System PROPERTY OWNER .......-77:0",7 — .�- �i,,e,, -sv..2 PHONES �� /Sj '/9 ADDRESS -� �! 5/29 c 0«M ivy s� :Z x /t ,� ; ?' PHONE ZIP7 v -. ./2 , -/ - CONTRACTOR /— c ADDRESS 7?,--_,-, c4—,4,5* �- -� ZIP ?c:75-'3 WA. ST. CONTRACTOR'S LICENSE # / �r/,�, y ,� O �.T. - EXP. DATE�0 /�9 j ? -- /2S/ ARCHITECT PHONE ADDRESS ZIP HEREBY, :CERTIFY .THAT I;HAVE: :READ AND ;EXAMINED ;THIS APPLICATION:AND CBE TRUE AND CORRECT, AND I AM AUTHORIZED TO PLY FOR <THIS PERMIT : DATE BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE PRINT NAMI uA -, ADDRESS PHONE w7/y2 /9 CITY/ZIP CONTACT PERSON �2f /7c Zc4,� PHONE 2 S/ /..- 8".S`' /f/ 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 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 RECMveD CCTV rn: T, Itswrt.A NOV ?e 1993 DATE APPLICATION EXPIRES -L fci/12,e9 COMMERCIAL SUBMITTAL CHECKLIST NEW COMMERCIAL BUILDINGS/ADDITIONS • n Completed building permit application (one for each struettire) Assessor Account Number Two sets (2) of the folloWing: • : ::••:': Specifications 1-1 Structural calculations stamped by a Washington State licensed engineer • " • : •.• Li Soils report stamped by a Washington State licensed engineer Topographical survey Energy calcAtlatiOns•stemped by a. Washington:State:ticenSed engineer or architect ••• Fa] Legal description •: 1 1 Working draviirigs, starriped by a Washirigion State iloonse::'. architect, WhiCh include: •: riCompleted utility permit applicatiori..(ene for entire • Six (6) sots of civil drawings NOTE -See efi/i1j/ permit apPrication and checklist for Specific utthty submittal requirements.:. : : • : • • RACK STORAGE ri Completed building permit application LJ Assessor Account:Number Two (2) sets of plans, which include: . • • •••:: Building floor plan showing: • Entire space where racks will be located . • Exit doors • Dimensions of all aisles Tenant space floor plan showing rack storage layout, aisles and • • 1 1 ...„ •••• •••• • •.Coiripleted:bUilcfind:perrnIt'application::(one:fer each structuro) :••• : • . . . . . . Narrative.deiscri171ng.eXisting"roOf,' material baing removed and - matenat being installed NOTE A Certification. letter iS:reqUired.prier to finallinspeetion..andeigh7••:-:"; ,..'eff of . . ANTENNA/SATELLITE :DISHES . ..„‘ •• J.Co thpletei d'building Perm) appllcation I Assessor Account Number • : " :: • NOTE: Include dimensions of racks (height, width and length), . and exit ways on plan. : : . :.:• .. • 1 Structural calculations stamped by .n Washington State licensed: .. engineer (rack storage 8' and over). ::.::•• RESIDENTIAL NEW SINGLE•FAMILY DWELLINGS/ADDITIONS . • RESIDENTIAL REMODELS.: • • • ••, ......„: , Assessor .•Account Number H-- •••%"••••••••••.:';•• ........ ••: Two sets (2) of working drawings. • Site plan (On plan, show closest hvdran; kcstton Foundation plan • • /dm Roof plan ? *: • :':" : ::•• Building elevations (all • Buildieb cross-section.: : • Structural framing plans . • • : • • : : . • : • Floor,plan • • • • .. •• • . ..WashingtonState'Energy..Codo • n Completed utility permit appficatioil ' • • • • • .:••• . . . • Six (6) sots of site plans showing utilitios :•: . .. • NOTE •'Euilcling site p!an ano utihty site plan inay utility permit applIcatiori and -checklist. for sPeclflc Subinittal:reqUiremantS; Roof ptan Buitding olevations (alt views) •: Bullding 'CrOSSseCtian.:••::.::.•,:.:,:, • andplans must be submittod • ..........• • •• . • : • • ' : • : • Additional topographical and sells information may be reqUltyq 1..!ri 1 1 '-"•• ". . . , ... . structure CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK 5a D LI NUMBER l BUILDIIL PERMIT APPLICATION DESCRIPTION AMOUNT RCPT # DATE BUILDING PERMIT FEE ... PLAN CHECK FEE tO5 .00 BUILDING SURCHARGE OTHER: CYO TOTAL • - • a .ao SITE ADDRESS SUITE # a /oY© 90714 'U- Soo'7- VALUE OF CONSTRUCTION - $ i c�.. 0 00 ADDRESS /2/i S'o�'// /Z/6M 574 xlf�wl, PROJECT NAME/TENANT Bohn ASSESSOR ACCOUNT # 00g000 -0705 -00 (commercial) • Demolition (building) 0 Other r� ;e" -•�ob' PHONE EXP. DATE /� PHONE`_ 06 �Yt)r\ TYPE OF 0 New Building Addition • Tenant Improvemen WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) DESCRIBE WORK TO BE DONE: cY., -- /7%c- e c - - .42 /9s /4/o /4---- c-/ . %j-o -. S t BUILDING USE (office, warehouse, etc.) .-� « fir_ s i .-, . / NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building %?9c, Tenant Space:,d Area of Construction: ��e- WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? CZ No 0 Yes IF YES, EXPLAIN: FIRE PROTECTION FEATURES: 0 Sprinklers 0 Automatic Fire Alarm System PROPERTY OWNER „76147 r- PHONE 2 .„/,/z/2/7 ADDRESS /2/i S'o�'// /Z/6M 574 xlf�wl, ZIP �j'� %�'� CONTRACTOR 7-� _ �.-er- �o� ,,Sfic. t,� PHONE EXP. DATE /� PHONE`_ 06 ZIP (� 5--� 9�� / s/ ADDRESS ///�1% 5-6- G- 8- A 4,2,7- v' igS/f WA. ST. CONTRACTOR'S LICENSE # -7-e.. �4 0 g,S.j .v ARCHITECT �0 /V ADDRESS ZIP970 i.6- .1 HEREBY; CERTIF,Y::THAT I ;HAVE:READ;AND;:EXAMINED :THIS APP.LICAT,ION AND KNOW T • BE`TRUE;AND CORRECT, AND :<1 AM AUTHORIZED TO;APPLY. FOR<THIS PERMIT BUILDING OWNER SIGNATURE OR �1 AUTHORIZED AGENT PRINT NAM CONTACT PERSON DATE E: :SAME;:' ADDRESS (/2/% s,) . //% _' / /12026 PHONE 2 VV /�2 /7 CITY/ZIP 876 g PHONE E «/ FS'W 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 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 11-q- DATE APPLICATION EXPIRES 1 0!22/93 COMMERCIAL �r { SUBVMITTAL. CHECKLIST NEW COMMERCIAL BUILDINGS /ADDITIONS IIMMONIMMOO Completed building permit application (one for each structure El Assessor. Account Number;` Two sets (2) of the following: 1 Specifications LJ Structural calculations stamped by a Washington State license nComploted building permit application (one for each • tenant) Assessor Account Number :Two'(2) sets of con'strucgon plans;: whichinolude Site plan Li Soils report stamped by a Washington State licensed engineor;'` rn Topographical survey Energy calculations stamped by a Washington State licensed;: engineor or architect : LJ Legal description II Working drawings; stamped by a Washington State licensed t 1 architect, which include • Location of;tenant space Existing and proposed parking • Landscapo.pian (it applicable, i.e, :.h.a:: .. : e of use Overall bulding plan Tenantlocation Usa of adjacet (commoal) tent • Overall dimensions of building or squaro footage, Floor plan of proposed tenant space • :Tenant space plan with use. of each :room labelled Exit doors;; egress patterns; New walls; existing wall, and walls to be demolisho Construction details • Cross sections showing wall construction a64..01. d method of attachment for:fioorand calling Structural calculations,stampod by`a Washington State,liconsed engineer; may.berequired if structural work:i5 to bo done (2 ;sets NOTE : 1f any: utility work le to be done, submit separate utility permit, :: application and plans . ‘• Site plan • Architectural drawings'.,;. • Structural drawings . Mechanical drawings • Elevations •; Civil drawings :, Landscape plane. Completed utility permit application Six. (6) sots of civil drawings.;:; NOTE:, Sae utility permit application and checklist for speci is utiii submittal requirements.,;`•: for :entire .projoct) HACK STORAGE Completed building; permit application Assessor Account Number Two (2) ,rots of plans, which include: Completed bwtr9ng permit application. 1 Assessor Account Number Narrative describing: existing roof, material,being 'material being installed NOTE A cerillicationlettor Isrequired prior to. final inspection an off of rho, parmlt L I Building floor plan showing:. • Entire space. where racks will be located • Exit doors : :. • • Dimensions of all aisles Lii Tenant space floor plan showing rack storage layout; aisles and exits ANTENNA/SATELLITE :.DISHES • I : Completed building pnrmit application Assessor Account Number Two (2) sets of plans, which include NOTE:. lnclude'dimonsions of racks (height, and exit ways on plan.: ; Structural calculations stamped by a,Washington State Itcensei onginoor (rack storage 8'.and ovor).;' width' and length) aisles •Site Plan (showing building and• location of antenna/satollite: Details antenna /satellite;dish: and :method ;of attachmon RESIDENTIAL NEW SINGLE - FAMILY DV /ELLINGS /ADDITIONS I- I Completed building permit application (ono; for oath structure 1 Legal description RESIDENTIAL' REMODELS ElAssessor. Account Number ri Two sets '(2) of working drawings; which include: • Site plan fi-: (pn plan, show closest hydrant bacon • Foundation plan • include access ro bu11ding; showing • Floor plan': width and length of accoas ) Roof plan . . Building elevations: (all views :.Building cross section • Structural framing plans L .1 Washington State Energy Code data Comploted; utility permit application n. Six (6) sots of sito plans showing utilities .' Two (2) sets of working drawings, which •'Site plan Foundation plan .ploor.plan:. Roof plan ! ••:Building elevations (all wows) iding.cross- section • .Structural framing plans NOTE 1f anyutrlity work is to be dons provide utility permit appllcatio and, plans must be submlttad. •: NOTE: Building silo plan and utility silo, plan May .be See utility permit application and checklist forspacl(ic submittal requirements:: Additional topographicat and soils information may be required if unique. site conditions. Completed building permit application Assessor Account Number for each structure, :Narrative describing existing root,,,F atenal being removed; an • • mat�irlal being installed NOTE': A'certlrcation er Is reewee`prier oh to final Inspeon lett and $19117 :o(1 of rho permit f City of Tukwila Department of Public Works John W. Rants, Mayor M E M O R A N D U M NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DIVISIO DATE: DECEMBER 13, 1993 SUBJECT: UTILITY PERMIT AVAILABILITY /REQUIREMENTS Anderson SFR House Move 4201 South 146th Street Project No. P93 -0149 Activity Nos. PW93 -0252, 0253 & 0254 Contact Person: Greg Mozek Telephone No.: (206) 241 -8544 Ross A. Earnst, P. E., Director THE FOLLOWING PUBLIC WORKS PERMITS ARE AVAILABLE FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON DECEMBER 13, 1993: Curb Cut /Access /Sidewalk Moving an Oversize Load Storm Drainage Permit fee $ 25.00 $ 25.00 $ 25.00 TOTAL $ 75.00 Two copies of the confirmed Utility Permit Application Form and approved plans have been included in the permit files. JP /cd cf: City Utilities Inspector (w /copy of plans /application) Development file (w /copy of plans /application) anderaon.upa 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 4313665 O 1 t4N-.'1 City of Tut vita IAA Ion #hc-(3 Central Permit System - Engineering Division pI.,j73 — oa.s -a- 6300 :Sputficer ter Blvd., Suite #100, Tukwila, WA 98188 &1/4,23-3, Phone (206) 433 -0179 NOV 2 41993 UTILITY PERMIT APPLICATION. PR4J (NFORMATI.. Pro • ert Owner: - 7C/-v /i o111111•01=. /</ovs& -- /?O Ye. Phone No.: l cis / �-� Street Address: Engineer: Street Address: Cit /State/Zi': Phone No.: City /State/Zip: Contractor: Street Address: 'r, King Cry Assessor Acct #: fit) PERM(`... QUEST iy ❑ 0 /✓a.® eke. 9 -429 Phone No.: ?.fir. - 1V City / State/Zip: `' fJti ;La UOe' 7_ir, Contractor's License #: Date: ''7 /'=? ❑ Sewer Main Extension ❑ Private ❑ Public Storm DrainagePfl 3- .) ❑ Street Use ❑ Water Main Extension ❑ Private ❑ Public ❑ Water Meter / Exempt: - No.: — Sizes' Deduct ❑ Water Only ❑ ❑ Water Meter/ Permanent - No • ___. Sizes• ❑ Water Meter/ Temporary: - No.: Sizes• Estimated quantity: Schedule: ❑ Other: Channelization/Striping /Signing ) Curb Cut/Access/Sidewalk(Ph'93'" 0.2 6'9 Loop /Hydr. (main to vault) - No.: Sizes_ Floor) Zone Control Hauling Land Altering cubic yards Irrigation L Landscape Mo ing an Oversized Load et G( ti �t,,,t� Est. start/end times: Date: ❑ Sanitary Side Sewer - No.: ;WATER.; .,., l LREFUNb /BILLING . Street Address: Name: Name: Phone No.: ttMO N TH LY BILLINGS >Tt City / State/Zip: ❑ Water Street Address: ❑ Sewer ❑ Metro Phone No.: City /State/Zip: DESCRIPTION' >OF .PROJE ❑ Multiple - Family Dwelling No. of Units: ❑ Commercial industrial ❑ Standby El Single - Family Residential ❑ Hotel ❑ Motel ❑ Office ❑ Retail ❑ Duplex ❑ Triplex ❑ Warehouse ❑ Church ❑ Manufacturing ❑ Hospital ❑ Apartments ❑ Condominiums ❑ Other: L .:...:. ❑ New Building 1, 1,j Remodel/ MISCELLANEOUS; >' INFORMATION'': Square ,,t,�, P�etti4ieri Square footage of additional building space: • :.DG ><.;: Footage: /�,D'rP is valuation of or+g structured $ .. 7 '3 2 Valuation of work to be done: $/'4o'- ❑ School /College /University ❑ Other: Square footage of original building space: I HEREBY;CERTIFY THATa:HAVE READ .THIS:APPI 'lCA r/ON AND �CNOW:THE::5�4ME TO: BE °:TRUE AND •:CORRECT Applicant /Authorized �;• Agent Signature: �?''-:- ! —,---- . Contact Person (print name): �� �' =-, % -2%b - c - Print Name: � J , ,,/,,' ;,_ Phone: � �, Date: 7",//: ,� - F' �/ /' "2 /•,y Address: /-62 /C. .s'.:•f- ``oT/Y Phone: �� /- (1 ) !'� Date - pplication Accepted: .4 Date Application Expires: r ,) , q 'z 04/22/92 Tf'!^.`�'.'" -'. �'• r v I'!' 'Fi•: ; ' 7 .,. id "1 •' �'1 �' ?'1 a i �i17�4jf'�9'!7R 1 . •,} t .1� PEige *************• k* 4*** k• ************kk*k* *** ******* k** 4* 4**** * * **** CITY OF TUKWILA, WA, SET: ANDERSON **** k****** *k * *k** *4*** *•4** *4 *** ***4**** h* * ***** ***•k***k•4****** Receipt Number: 93091787 Amount: . . .. .665.0() 12/15/93 14 :08 Payment Method.: CHECK Notation: ANDERSON, JOHN Init: DLM i 1** *k *4,444%* * * ** * *ky1 *s4.i1** * *4* * ** *•A* 1 * ** ** * * *i ** 4* ** *•A *•** *.*** * **** Set Members: PW93- •0253 Account Cade 000/322.100 000/345.830 000/386.904 000/342,400 412/342.400 ;90.00 25.00 PW93- -0252 PW93 -0254 Description BUILDING - RES PLAN CHECI(. • UTILITY STATE BUILDING SURCHARGE INSP FEE -- UTILITY xNSP FEE -- .STORM DRAIN Natal fee Payments: 1,��40d�3 v\i X 25.00 Paid 585.50 30.00 4.50 30.00 15.00. GG5N00 GENERA GENERA GENERA GENERA GENERA TOTAL CHECF, 585.50 30.00 4.50. 30.00 15.00 665.00 665.00 CHANGE 0.00 7191A000 16 :06 •**4* 4*** 4 :*k *** ****4****** *****k•k** *• kit** ***** *k** ***** *k *4* ** *.f** CITY OF TUKWILA, WA TRANSMIT ** k***** k• k** k***• k** k** k*** k* kk• kk*k k** *k ***k *k*k•kk * * * * *k* *44k * *•k* TRANSMIT Number: 93001647 Amount :: 40.00 1.1/09/93 16 :55 Permit NO2 193.0443 Type: B-RELOC RELOCATION PERMIT Location: 21210 20 AV 9 •.(3EATAC) 1.1/10/93 Payment Method: CHECK Notation: JOHN ANDERSON 'nit: SLD *****•*4***** 4*** k**44*4********* k.* ** ** ** * * * * * * ** * * ** * * * * **k **• * ** Account Code Description Paid 000/322.1.00 BUILDING - RES 40.00 Total (This Payment): .40.00 Total Fees: Total All Payments: Sal ance: 40.00 40.00 .00 GENERA • 40.00 TOTAL 40.00 CHECK 40.00 CHANGE 0.00 6174A000 15 :54 CITY OF TUKWILA Address: 4201 S 146 ST Permit No: B93-0443 Tenant: ANDERSON JOHN Status: ISSUED Type: B-RELOC Applied: 11/09/1993 Parcel #: 004000-0705 Issued: 12/15/1993 ******************k***kAk*****kk***k**7 01 :******kkk*kk Ot ******kkk*hkkk Oc k* Permit Conditions:. 1. 1. AS A CONDITION OF THIsAp0OvAL' 01p PRIOR TO FINAL IN- SPECTION, THE OWNEVOLC.BEREOUIRE6TODETUCATE AN ADDI- TIONAL 5' OF RIGHT6F-WAY ,TO THEt,CITY ALONND AVENUE SOUTH AND SOTH-146TH,ST,REEt AND'ADDITIpN,ALWIOECESSARY TO PROVID•:OW A 25'"ORNERRAD14. RECORDED DOCOOENTA- TION SH,NYLEIE PROVIDED. TO THE CITY,UTILYTiES 4( INSOEttOp. ' r' ' ,. 2. THE OWNER/WIL,L 4.SO-BE REQUIRED' msIpm g'NoteROTE .6 WATER/AGREEMENT FOR FUTURE4IRGRADE OF THE CURRENT 'AD CIEN,r,e SYSJEWINSOUTH 14,6tHliSTREET PRIOR, TO THE FINA4, ' INOEOION. APPROPRIATEE6iENtDOCUMENTc'CAN-111EebB-wq'' , 2. No ch:alges4i11 be mages:,:to thepjAns unless approved b'v,the'.4',', 3. PluliibAng;?pettplit,shall'be-ob,t4hed Wough the Seattle-King •Couft9 DepartOnt of.,PUblic Hbalth.-RlUmbling will be 4',' Archltiact,,la0 the Tukwila Bui'lciing,,Dtvision. TAWED FROM THE-tITY;.gTILIIIES INSPECTOR. -.1 - '''1'\‘ . % ,% , 4, 01 , - ,,,i,7, inspected by thatagen-cyrindltOirlgdil)gaslpiping ( 2,q 4722). '' , , r:t s! ' :1 4. El dopri-cal .permit Oa 1 17 be ! dbta i n60 'rough, the Washington State: Division of,-Labdr,a60-Oduseries,d6d al 1 electrjcal work'wiflba tnspecte& by that a 4? q 5. AlMlcharifbal,,work"s6AWb'e uncfer/s4ar4te-permit ttSroW‘ 1 'T theOCAty, 6f1Tukwila. ' 1W 4.4.2,-,c, ,.. .t,, 0. ,,, tl. % 6. AllIppTmlts',inspection records, and approved Vans4'sha3:4 be main0p)ed raVairable at the job s4teldr,Jdv:the ,stat,tif) ,4 any canptkOtIon. , These documents are 'it.b be„m4indined',,,,, / availabA until final inspection'apprdV0 Is gizatited. 7. All construction to',be done in cdilforKan,0„,w4tb'approved , plans aitirequiampned,pf the UnTform Building Code (191 Edition)'*%amer9ad by the Washington Stdte'Bui1000 Cod0AY Uniform Irtle6hIlni6d1Code (1991EdLition),a'nd Wash.lii4tondte Energy Code(4991 Second Edition). ,,,p, 8. Validity of Permit. pit. The issUance,;ofreppermit or appR, oval of plans, specificatlons and computWonsIshall nWketcon- strued to be a pefor, or 'dn'abOoiialPfS1:0191olation of any of the provlslons other ordinance of the jurisdfotton6,kmWO resuming to give authority or violate or cancel the provisions of this code shall be valid. 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA: _98188 PERMIT NO. (206) 431 -3670 Project: �" -,� � ' Type of Inspection: }J7a #t z Address: yzz/ sa / / / Ce? Date Called: _ / -9 47 Special Instructions: Date Wanted:(� /' . ,.. . Requester: Phone No.: Approved per applicable codes. O Corrections required prior to approval. . COMMEN A 0 $30,00 REINSPECTION ' E REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd.,,Suite 100. CaII to schedule reinspection. k S INSPECTION RECORp Retain a copy with permit INSPECTION N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2Q6) 431 -3670 ro ect: /f/►f_I SieTA--, ype o nspect on: Address: / /1r X.) Date Called: 1-5 '41" Special Instructions: Date Wanted: fr / 4 (W p.m. p.. YO Requester: No.: / . l'i / 2_ 0 Approved per applicable codes. Corrections required prior to. approval. COMMENTS: o' c_160.is�i grt�- :• - �z.i� Ceti- 6? 6,6 M4 /l9L' 'h /y dam., I Inspector: M Date: rA�-trio�`� O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, tee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectlon. IRecept No.: Date: SPECTION N0— INSPECTION RECORD Retain a copy with permit' PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 • ID ect: s J h ilti,lbetszki ype 0 sped ion: II1/4AL Address: 4.21 S a 14 t„ 1(,, Date Called: 0/4 11.4 Special Instructions: Date Wanted: e `�,.,, ./1,1 !D am,co Requester: 0-1 1<KSolJ Phone No.: Approved per applicable codes. COMMENTS: ❑ Corrections required prior to approval. Inspector: 1.444 0 j9.4.v va,.. � Date: tabsA ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 74ith INSPECTION RECORD Retain a copy with permit INS CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 .r0 ect: ve i, dririi, . I, - ype 0 nspe. • : 2 / CU L'ArC.-- In/AlVfLe p to-5 . s PLtAw6) kr, (---•-•‘• 1.1A-L. Address: jo 5 /1,V6r-/- Date Called: P we,I. 1 L v.yoa..k.g Fi Jr ylivev14- Special Instructions: Date Wanted: w 1 h.' .Sztiu ^ro am p.m. Requester: wi ii 14-SuLt-Wre CE1 (--t OC2- t 0 C. LAA )-.7.11J Ca FA 0 Du as. Phone No.: ...- , 0 Appcoved per applicable codes. Zir Corrections required prior to approval. /I COMMENTS: t pet 09E: / occ. ). 4,94,,icf- Z.' 2 / CU L'ArC.-- In/AlVfLe p to-5 . s PLtAw6) kr, (---•-•‘• 1.1A-L. 4 P we,I. 1 L v.yoa..k.g Fi 5 ylivev14- S ty..eiLE- .1),z1vx.ra.t2 h.' .Sztiu ^ro ALA- wt,-A- td.1.30 w 14,q-pt 40.p( e. o S' -b t%-s . ) F-1.4opt- 1 t..).5Lti-Nron) AP PiLtA.470. ii 14-SuLt-Wre CE1 (--t OC2- t 0 C. LAA )-.7.11J Ca FA 0 Du as. ...- , ,." Ai. ' .. . ..q.' Ue. 1.,,''''' ■ •\,', nspector: V El $30,00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Soullventer Blvd., Suite 100. Call to schedule reinspection. 'seep • .: INSPECTION RECORD (2) Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 6q3 0443 PERMT NO. (206) 431 -3670 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: ' IInspector: Date: 2.l 2( 4 ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to relnspection, tee must be paid at 6300 Southcenter Blvd„ Suite 100. Cali to schedule reinspection. re-CIAO No.: Date:. Instructions: .. MTh t Gu., ie k AAL,Q4 & 51.1 cd) G fa dgiv, Date Wanted Requester. ri Yr Phone No.: a, I" I ."." �i'L I- Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: ' IInspector: Date: 2.l 2( 4 ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to relnspection, tee must be paid at 6300 Southcenter Blvd„ Suite 100. Cali to schedule reinspection. re-CIAO No.: Date:. }INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 • - nN►J itJp S�J ypeo ns.:.t.. "DU N OM, n isi Address:42o 1 S. I Li Low Date CaNed: 1— Special Instructions: 1 bate Wanted:/-7-94 Q Pte. Requester. �� PtaneNo.: Approved per applicable codes. COMMENTS: ' ❑ Corrections required prior to appPoval. r� . ✓ Dade: ) _ /,...� C? ❑iff.00 REINSPECTION fEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. lRecept No.: • 'pie: O INSPECTION RECORD C Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, Wit\ 98188 131oL/'1`7.5 PERIN NOI (206) 431-3670 . n:. v l d ---t-.-ti ANYDIA--, ype o nspect -R7441/4 M4--, ./1 . d.r14s, 146 sr: Date Called: / -- 45 — q4—• Sp = • • Instnictrons: r. Date Wanted: 1 , , ,...-1 , / "-"/ Requester: Phone No.: 0 Approved per applicable codes. 2VCorrections required prior to approval. COMMENTS: crer_re ,„4/1-c?' Aity,zpvt,w . • Ce\vv. - v-.,1 LA T1 1N&I ce.)..c.\ -1 tM.. 'risk ‘Z.; u-r:vir-fi-si-- • Inspector: _ `s. De: 0 $30.00 REINSPEQTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ie INSPECTION RECORD ( Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 er 3--O4 . PERMIT N0. / (206) 431-3670 roe: N 1(, P (.S 11 Toh n Type of (nspedlon:�f P rii �V Address: alalD fDs> Poi Date Called: 1 t q — q"3 Special Instructions: "\01'-k- -i"O be- inQv e o r12X -1 �O WQ 19 141a Date Wanted: a m. p.m. Requester. r 2 hr) 07.k � Pion No .: ■ ❑ Approved per applicable codes. COMMENTS: ❑ Corrections required prior to approval. °A-v.9 7 (Z 'n hc' . P j Inspects: Date: / ❑ $30 00 REINSPECTION FEE REQUIRED. Prior to relnspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.. .r. �s�a4,'i�•s',+•,fi;Y;••`;f,r,"� rr�?%r�1�;'�A'h^!. "r" "!. ^a V PROJECT# 1.4"►.J CERTIFICATE OF WATER AVAILABILITY PART A: (TO BE COMPLETED BY APPLICANT) 1. Owner Name /Address /Phone: _J 0 /N' A/VL , <S .z 1 (e/6 s74 Er i ct, yVfz4 vrA 92( Agent or. Contact Person /Name /Phone: J Q V// A toot 'S U 4' 61L/ 4/2 ( . Site Address (Attach map and legal description showing hydrant location & size of main): AP/t/(4.7 v.ci g 7A4 7s - / 2. This certificate is submitted as part of an application for: Residential Building Permit ❑ Preliminary Plat ❑ Short Subdivision ❑ Commercial /Industrial Building Permit ❑ Rezone ❑ Other: 3. Estimated number of service connections and meter size(s): /y(,- 7,6>€ 4. Vehicular distance from nearest hydrant to the rear of the furthest structure: ft. 5. Minimum needs of development for fire flows: gpm at a residual pressure of 20 psi. Source of minimum flow requirement: ❑ Fire Marshal ❑ Insurance Underwriter ❑ Utility ❑ Developer's Engineer ❑ City ❑ Other 6. Area is served by: (Utility) Owner /Agent's Signature: Date: //_ /e —9 3 (Reverse side to be completed by water utility and governing jurisdiction) PART B: (TO BE COMPLE ) BY WATER UTILITY) 1 lI,, t 1. The proposed project is located within (CAS. <k1 c 1 la- ,t K (City /Co 2. Improvements required to upgrade the water system to bring it into compliance with the utilities' comprehensive plan or to meet the minimum flow requirements of the project before connection: Based upon the improvements listed above, water can be provided and will be available at the site with a residual pressure of S 0 psi at / $ gpm for a duration of � hours at a velocity of 0 fps as documented by the attached calculations. I hereby certify that the above information is true and correct. ►CCU ,0 AgencylPhone Z..e7(-75-44.7 By Date PART C: (TO BE COMPLETED BY GOVERNING JURISDICTION) 1. Water Availability - Check one ' ❑ Acceptable service can be provided to this project., ❑ Acceptable service cannot be provided to this project unless the improvements listed in item #C2 are met. ❑ System isn't capable of providing service to this project. 2. Minimum water system improvements: (At least equal to B2 above) Agency /Phone By Date IIPnktYa 2M1'd ?0 A f t NI"?(u4VCNt aloe SEWER DISTRICT CERTIFICATE OF SEWER AVAILABILITY do not write in this box number name Il Building Permit Fr Preliminary Plat or PUD Short Subdivision Et Rezone or Other Pro pdsed Use: Residential S.F. I-1 MulitFamily El Commercial Li Other APPLICANTS NAME v D 11-/ A/ A At PROPERTY ADDRESS OR , APPROXIMATE LOCATION 'S . f` C d/�'4/ �S�' ��/� ��' )- e Z'y',�4UE . LEGAL DESCRIPTION A/3 /414 s /H0i14 F 1P C 7-5 L 7 / N IRA s-Ff ryfl ken- 1 (Attach map & legal description if necessary) +++++++++++++++++++++++++++ 1•++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ SEWER. AGENCY INFORMATION s. 1. a.l�,( Sewer service will be provided by side sewer connection only to an existing V' size sewer_3 0 feet from the site and the sewer system has the capacity to serve the proposed use. OR b.❑ Sewer service will require an improvement to the sewer system of: 0 (1) feet of sewer trunk or lateral to reach the site; and /or Q(2) the construction of a collection system on the site; and /or C (3) other (describe) 2. (M4At be completed if 1.b above is checked) a. The sewer system improvement is in conformance with a n County approved sewer comprehensive plan. OR b.l I The sewer system improvement will require a sewer comprehensive plan amendment. 3. a. The proposed project is within the corporate limits of the district, or has been granted Boundary Review Board approval for extension of service outside the district or city. OR b.❑ Annexation or BRB approval will be necessary to provide service. 4. Service is subject to the following: a. District Connection Charges due prior to connection: GFC 4/6D.6° LFC Z(781,0- UNIT TOTAL '312:MM (Subject to change on January 1st) METRO Capacity Charge $750 billed by METRO after connection to sewer system. b. Easement(s): Required — Maybe Required hh c. Other: O�10C2 E S.Pot3SI Bl-E. `Port- IISTAt..u4T1 oND oT 5''tL(P I hereby certify that the above sewer agency information is true. This certification shall be valid for one year from date of signature. VAL VUE SEWER DISTRICT Ma a:•r, T. J. Matelich //� ld -q3 Date Commonwealth Land Title Insurance Comp( of Philadelphia k Reliance Reltanre Group Had,np.. .mpan. ORDER U CUSTOMER U VOL. 11 PAGE 3 I PLAT _Llama ±10 Yne, -TN ( _ LOT frthl All BLOCK Lo QUARTER/QUARTER. [�� SEC. c�la TWP. 0174::174 RANGE O -tiE U 3O, -.ate ... — .w.... 1 s . ►� 40th Si-. 1 Iv 1 1,0 #')' . /H.8 D., v • 0 v •toe/J ;7 •',re9oas/ T , o• a hVj , 10 i,„4. gN.2,_ (x4.4 Aer p4 04 S. 148111 r) 0.95/7 64.4 • 64 0 410D 1 This sketch is provided, without charge, for your information. It is not Intended to show all matters related to the property including, but not limited to, area, dimensions, easements, encroachments, or location of boundaries.' It le not a part of, nor dons it modify, the commitment or policy to which it is attached. The Company assumes NO LIABILITY for any matter related to this sketch. Reference should be made to an accurate survey for further information. • w FOR OFFICE USE ONLY PERMIT # ER'S STATEMENT I understand that any remodel work, or additions to the structure, will not be allowed unless shown in detail on the approved plans. I also understand that I cannot move the building into or within the city, or start construction or land clearing at the new site, until the proper permits have been approved and issued. t ner's ' ' nature M V NG CO FOR OFFICE USE ONLY PERMIT # TRACTOR'S STATEMENT I will move the structure in section(s). In the event that it is moved in more than one section, inspection of the structural repair at the new site will be called for before being covered. I further understand that I must obtain a separate permit(s) from the Department of Public Works to move the building. (,>eotractor's Signature Dat - /b c x WA State Contractor's License Number Expiration Date PRE -MOVE INSPECTION PROJECT: A Nsd Address of present location - ,7111) Zp _ S. Address of proposed relocation site- 1-12,.I `l Z. f�� - 1) Exterior condition of structure- Gz ax,D fro t- 2) Type and condition of any building appurtenances (porches chimneys, exterior stairs, etc .) - CH' n1L=`•l ,ZGt 4.1.,14 NI TO i? or3F Tg- aNsroc , 0c0 Pnr.c.t4v'S, ETC 3) Roof condition and type- � � pitIAC't" nl ('O6(L - -- Co Also, 71 .0 rJ . 4) Type of roof system (stick frame rafters, trusses, skip or solid sheathing, size of rafters, etc.) « Cam: -t 1.1Cl • U I, 0., Jvl'f,ri -S1 t.110 - . L� aY� ",T,_ Nl limit .._..�.t`r) rL... •A C"1,5 MA .,\ 1 P0,S1 \`.S U,'Qd.2 -•1 . • 5) Type of foundation and floor supports-. PL,ANk. -,- Pa wn - c-(XCv 0,j Lt Gr"N,'�•�•S 1 Zn•Cr, l� G ('-t �U' - _ P' r'.- ..S Pr'o,(.; Cr oC. . 6) Current heat source (electric, gas, oil, etc.)- 7U rhos R .�'4,n Gr-1J >, 7) Type and condition of any visible electrical wiring- ._ 6(.. cry) 5 8) Location of any existing smoke detectors- ,J(.,„s. 9) Code complying fire separation between house and attached garage- £y t.vq.5) JUw - L/ e 4• ¼" Type X .; 50-F c L-bs WC? 10) Location and type of windows or other glazing_, enc,:72 .1 zrJ 11) Location of attic and crawl space acces - C• l.� /fin+' /�'�'C �..2 r�N•✓ l_ r�0 1.1 ".um-Ti U 12) Adequacy of attic ventilation- vdF c V �-„ No re-( „c, ✓,„-- „-,,,)G. 13) Type(s) of insulation (if any)- v,c._ F-1-00-17.. NU fJ po\1/4.Qi 14) Signs of insect or ro zit infestation - 9..;s t,1 15) Is building moveable in one section? tia0)30 111411136 £661 6 AON do A.110 V-1141WAt9 Otn: LOT LOCR TrQN ,61 ,c1 z ,ct It 0 475 6 0, .a 0 z (11 z z w re 0 cs1 ItI 1.. (.4 0 0 .4 ry ID 01 ■;1 cn 01 a. P.T. 50 -45.83 (1c6th) N 131 'D. VI I1.4 I— —I Lo r's 0 0 ;r1 cs, 3 S C.CC171 S ' " .1 iS 419" Mr I .0g,e-411° c1 0 STA 50•80 w 0 cd a. u. 2 1 . • '''' ''' 41111".111ftrar, 1 Alo - PERMIT CENTER.. TO : - FROM ". DFD FAIRSHARE ■''3 4313665 /YaY + 1- Z/�6/9.3 DEC. 14.1993 11:20AM P 2 y-, /2= d��j l.' 4 4NHONE . . 206 789 2645 MOM iNsis L .ai .. a 6111__„ AY it, 8111 _lull r .. X 6 A„. Mpt?IA IA 4 g A ;D 9f]ll ".AY..s 1 A9n1 1Y, 4 ..r 4TH AV rT N. 1..11 3T1)_, AY... H anp;7 .4 - b • 5�..' $ ttt►►V4444L4 a'+. y. I'� - 1 Un1 A t"'�`'1, '1 ay s ..y.... ,1 , 11 GIN + t` ,...., a ,101b • .4_ • 6. NI Oft 1. a " • .1,7" , T— • • 4..1141.7. • '44 1, V"' "'"-* •••' 693-.0445 -01 43 Zv � F;_.'7' Y or Fk s' ter,; FLU S' v44 i s Fi h ifs —1 ;A r2rr 40 Srbaili , WAlre , t »J SCf;L EY U_ 16' Pow E \Poi.E. W rT S' AACk,N A SPO4 AL.-r,PE! P -0 -'-C - / r ? Ad s, / 502 1L/e,..- CITY OF TUKWtLIk APPROVED DEC 15 1993 tvATIT pi r .4®o/ A ! 1!!_DINts DIVISION r ri'�jgr �'u�;'r --r I 'j- ?t.7r,5TZc;, WAT ttLCNti,� • a'�AP .13F s. ■ -TTESTI" 5 r vvER r. v1. WYE Cck"A ?iCt4T 1Yrm AUtb r; SEPARATE PERMIT REIVIRED FOR: ler CHANICAL !� ELECTRICAL 51r5LUMI3ING igirGAS PIPING CITY OF TUI(WILA BUILDING DIVISION understand that the plan Check a subject to errors and omissions and apprc al of plans does not authatiZO Its 'won of any adopted coda or MIMI& of conbactci s copy of . i4,4... /.1.11.7 oc vorobro lR. .04470 A®30,3 S RECEIVED CITY OF TUKWILA NOV 2 2 1993 SCALE: 1• 1!t DATE: APPROVED BY DRAWING NUMBER DIETZGEN NO. 798 -MF AGEPROOF MASTER FORM ,L 11111 1111111111111111111j111j111111111111 ,Ii{n1!,1,1111il14 r1lJ JJII 1rE. 11111111 IJII t 11 1111111111111111111111111,01414111 3 O 1G THS (NCH 2 4 5 6 7 S NOTE: If the microfilmed document is less clear than this notice, it is due to the quality of the original document. 14` 4I iIs i l 1 i I I 1LII 1I Ii II I ` ►I I'1L,I 1iI I... iil1i 1 }., 'i 9 10 11 MADE IN GERMANY 12- e V--‘1-0110,1 3. �ttZlrlC� Nis FIRE SEVAMON O8R. 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L�������. �1���. � .�.��.1���I����'�'���'�'�'�'��� 2 4 5 6 7 8 9 10 11 "DEINGERMANY 12 - NOTE: If the microfiimed document is less clear than this notice, it is due to the quality of the original document. 0 16 THS INCH 1 1 r` e • • • • • . ..•••:0•••••••••••••••••••••• 7,.t9 :' 2c'*': 7 t\1 6,014\i/ 511le,GL 19# rwri�/ `t5nnir -i'r VAG PoL At'D (12) )(8 AoittJaKrr"S No 2de Ai It,crea V�.•DV Bpi( ► Ke tAs lA ft _ Gi2At7� (? ►► 1-� 4111- Gi r fir /I)q ;1Rrz r0err c4 14 )k12x1 Poub N W . i't g. 1)-P gee f i l2fr. sE:cT(oN `A • 1 I , 1 EIi .GMIL Vlly . VAC: Sn 1QCL 11 ry c_c- FPt wAt,L `4 4 4 zE - Tcr P r �6 Iv 6 >�o2! V" C, k 4 4 FEBAR. Be- • WEST ELEVATION PP �� �o Ens ALT 10 soN) 12..1412.')! 12 n.orz'n ?)/4 "-r4 G ree,1c11 rhK r- L -r-11 61756KitIG - �Xb �'F2P iei1 (.At ►3 i7 ! ?osJDemi\ DE -1-1 CITY OF TUKWILA APPROVED DEC i 1993 AS q11 r\ 1 iV SIONN ©17"..-.41 Vi OCT 261993 Dept. 01 Construction & Land Use 14 CET WE OCT 3 1993 Dept. of ConstructIr j & land Use to 1 z RECEIVED . . 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