HomeMy WebLinkAboutPermit B92-0130 - RIVERTON LOT - GARAGE DEMOLITION0'
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City of 711t1twi&
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
DEMOLITION PERMIT
Permit No: B92 -0130 Status: ISSUED
Type: 8 -DEMO Issued: 04/28/1992
Category: RES Expires: 10/25/1992
Address: 13041 40 AV S
Location:
Parcel #: 734060 -0903
Wetlands: Slopes:
Water Dist: N/A Sewer Dist: N/A
Units: 000 Buildings: 001
TENANT RIVERTON LOT
13041 40TH AVENUE SOUTH, TUKWILA, WA 98168
OWNER C & M PROPERTIES INC Phone: (206)243 -0900
5190 S 166TH, .. TUKWILA WA 98188
******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Description: Valuation: .00
DEMOLITION OF EXISTING GARAGE.
Demolition Fee; 30.00 :Investigation Fee: .00
Cash Bond: 20000.00. Total Permit,Fee: :2,030.00
Bond Number:. 98- 068703 -2
*********1iO4****************************** * * * * * * * * * * * * * *. * * * * * * * * * * * * * * **
Ltwo,- '14-cacs--aQ
Permit Center,Authorized Signature' AO.ate .
I hereby certify that :I have read:and exam,ined'this permit and know .the
same. to be true and correct. .A11
; 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 he provisions of any other, +state or local laws' regulating-
construct;i.on''or the'..performance of work. I am authorized to sign.for an
obtain this building permit.
Signature. J_C_api ; �. Data: 3 31g
Print Name : / Title: 74421*.'r
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
abandoned for a period` of 180 days rfrom ;the last inspection.
(206) 431 -3670
PERMIT NO.
CONTACTED
L y1,., 7Q�
I ( � F
(a.c_)
DATE READY
DATE NOTIFIED
V
���" �a
BY:
(init.)
PERMIT EXPIRES
2nd NOTIFICATION
BY:
(init.)
AMOUNT OWING
w c
3RD NOTIFICATION
BY:
(snit.)
EUILDINGC'ERMIT
APPLICATION TRACKING
PROJECT NAME
v.12._r ion 1-43+
SITE ADDRESS
13Q
kv `J
SUITE NO.
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)
LtS
SQUARE OCC. SQUARE OCC.
FEET LOAD FEET LOAD
SQUARE OCC.
FEET LOAD
T SQUARE
FEET
OCC.
LOAD
SQUARE
FEET
OCC.
LOAD
TOTAL
. SQUARE FEET
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
® PUBLIC
WORKS
O OTHER
INIT:
INIT.
�1 7 n 0_ TYPE OF CONSTRUCTION:
• .UIRE ENTS
UTILITY PERMITS REQUIRED? Yes No
PUBLIC WORKS LE t t ER DATED: * z7 - ,7
BUILDING -
initial review
FIRE
PLANNING
,IgBUILDING -
final review
REVIEW COMPLETED
INIT:
INIT:
INIT:
CONSULTANT: Date Sent - Date Approved -
FIRE PROTECTION: ( ) Sprinklers 7 Detectors 1K) N/A
FIRE DEPT. LETTER DATED: -2i -91- INSPECTOR: 5'17_
ZONING :g.- IBAR/LAND USE CONDITIONS? f )Yes
REFERENCE FILE NOS.:
MINIMUM SETBACKS: N- S- E W-
UBC EDITION (year):
TOTAL
OCC LOAD
08/17roo
SITE ADDRESS SUITE #
' PP7 0 `f \ '(- o1- k Ave__
VALUE OF CONSTRUCTION - $
PROJECT NAME/TENANT
River L.0--)--
ASSESSOR ACCOUNT #
- 7 3 4 G 4 0— G 9 6 `3 —6 c i
(commercial) i Demolition (building)
0 Other
TYPE OF 0 New Building U Addition U Tenant Improvement
WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential)
DESCRIBE WORK II o Co TO BE DONE: �`
- bE-' w l G I , -t 1 l eX , s - ; A cry . 41131"1"--- ' " C cv of a
BUILDING USE (office, warehouse, etc.)
(4.40 et-4 d ,,,e , Y\ c)) 1 - 4 re s/ce-,-,,c_e / y ___ .
NATURE OF BUSINESS: N ) A
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: y -,, 0 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 pr.._o p ...1 v e �n e
PHONE . p 4......
G 1Vt,,
ZIP c Sd �
)
ADDRESS S lc/ () So - 166 , -- 7 , 4 1 s w 1(k; 1 - ( -) (±
CONTRACTOR gy er-z,) + e-
PHONE
ADDRESS
ZIP
WA. ST. CONTRACTOR'S LICENSE #
EXP. DATE
ARCHITECT �y --v.s 2e.'-
PHONE
ADDRESS
ZIP
CiTY OF TUKWiLA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
DATE
0z9
I.: HEREBV CERTi.FY :Tt AT :I<;HAVE <RE:AD >:AND < >:E :XAM INED.. >:;
E TRUE AND C RR CT, AND?I AM AUTHORIZED T O A
BUILDING OWNER
OR
AUTHORIZED
AGENT
CONTACT PERSON N ad, N-R M 0-r of
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
PRINT NAME N
ADDRESS s 5 r a l6 (p -
BUILDINJ PERMIT
APPLICATION
DESCRIPTION; ':::
BUILDING PERMIT:FEE
PLAN`CHECK FEE: <!
BUILDING SURCHARGE s'I':i'
OTHER:`:.:
AMOUNT:::
.RCPT '#
qocio
TOTAL: 34'C�
DATE APPLICATION EXPIRES
PHONE 43-09 c, o
lo - moo qQ
03/,6,0,
COMMERCIAL
NEW COMMERCIAL BUILDINGS /ADDITIONS
Completed building permit application (one for each structure)
n
Assessor Account'Number
Two sets (2) of the following:
n Specifications
n Structural calculations stamped by a Washington State licensed
engineer
Soils report stampedby a Washington State:licensed engineer. : `.
Topographical • survey
•Energy calculations stamped by a: Washington State' licensed
engineer or architect
:Legal description
� Working drawings; stamped by a Washington State licensed
.. architect, which include
• •Site plan
• Architectural drawings
• Structural drawings
• : Mechanical .drawings
. •.Elevations ': •
• Civil drawings
• Landscape plan
Completed utility permit application one for entire project
Six (6) sets of civil drawings;
NOTE::: Sae utility permit application and checklist for specific utilit
submittal requirements
Legal :eget description
Assessor Account •Number <;
1 Two sets (2) of working drawings which include
Site plan - - -• t.- (On plan ;show closest hydrant location
Foundation plan Include access to building, showin
Floor plan wldrh and length. of access,
Roof plan
Building elevation (all views}
• Building .:cross section;
tura
•
Structural fre ring plans •
Washington State.Energy Code data
Completed utility `permit application
•
COMMERCIAL TENANT IMPROVEME
C Completed building permit application (one for i
tenant)
Assessor Account Number
Two (2) sets of construction plans; which include;
E Site plan
Completed building permit application (one for each sWcture) :
Assessor Account Number
Narrative describing existing roof, :material' being removed, and
material being installed
NOTE A certification` letter is required prior to final inspection and sign
Off ol ; tha permit
Assessor Account Number
T wo (2) sets: of plans, which i
Site Plan (showing buildi g and location of antonna/satellite
Details antenna/satolllte dish and Method of attachment
Structural calebletions atAinped by a Washington State licens
engineermay be 'required .. ::.
one: for.each structure
I I
BACK STORAGE
Completed building'permit application
El
As sessor Account
Tw N umber :, ..
o'(2) sets of plans;`which i nclu
Building iloor, showing,
Entire space where racks will be boat
" doors
Dimensions ;of all aisles
Tenant space floor plan showing rack store
exits,
NOTE 'Include;dimensions of racks (height, width and length) aisles:
and exit ways on plan
Structural calculations stamped by a, State license
engineer (rack storage 8' and over)
RESIDENTIAL
NEW SINGLE FAMILY DWELLINGS /ADDITIONS;
Completed, building'permit application (one for each structure
Six (6) sets of site plans showing utilities;
NOTE .Building site plan and utility site plan may be combined
utility permit application and checklist for submittal requirements.
Additional topographical and soils information maybe required tf unique
site conditions
SUBMITTAL CHECKLIST
• Location; of tenant: space
• Existing and proposed parking
:Landscape plan (if applicable, i a , chap
Overall' building plan
• Tenant location . ?.
+:.Use of adjacent (common wall) tenant
Overall dimensions of building or square footage,
Floor plan of proposed tenant space
• Tenant space plan with `use of each room label) •
■'Exit doors, egress patterns,
New walls, existing wall, and walls to be demolishe
Construction :details
• Cross sections showing .wall construction and method
'attachment for floor and;ceiling
Structural calculations stamped by a Washington: Statelioensed
engineer may be required if structural work is to be done:(2 sets)
NOTE ll ariy utility work :is: be done; submit' separate utliaty perm
application and plans.:
RESIDENTIAL REMoDEI.S
Completed building permit application
ite plan
oundatior pia
oar plan
oaf plan
l uildin g elevati ons;(all views
uilding cross section
tNctural framing plans
'O.TE, If any utihty�ork Js to'be done provi.
and plans must bo submitted <
•:Completed building ponnit application (one' for each i
:As s e ssor Account Number
Ing rein
El Narr ative describing existing roof, material be remove
n.;.
material being installed
NOTE A certJl)catron letter Is r equ�ra d prior to Ilnal Inspeatlon;
off:of the permit
lc
PERMITS
D - •I "r
TO PWD
' A ''S
APPROVED
PERMIT
NUMBER
APPROVED
PLAN /LETTER
DATE
ISSUED
� 0;tA..
Channelization /Striping /Signing
/ 4'a2C
0
Curb Cut/Access /Sidewalk
Fire Loop /Hydrant
Flood Zone Control
Grade /Fill
Hauling
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) Sue:
No.:
uct
o w W aterr Only
Water Meter (permanent) Sue:
No.:
Water Meter (temporary) size:
No.:
Other:
Other:
— 6
RECEIVED
TYPE OF REVIEW
D - •I "r
TO PWD
' A ''S
APPROVED
l' • SIB.
REQUESTED
COMMENTS
L '..O_ a ,
� 0;tA..
./.
or
/ 4'a2C
0
PLAN CHECK
NUMBER
Pqa. -ooh
ROUTING
PERMITS REQUIRED
UTILITY PROJECT
TRACKING (FHECKLIST
PROJECT NAME
SITE ADDRESS
(3� 1 -1 l L t 0 P\v
CONDITIONS OF PERMIT ISSUANCE OR FINAL SIGN - OFF OF PROJECT
SUITE NO.
PROJ.EC'
<I N F:O.RNI Al l 0..
Property Owner:
Street
Engineer:
Street Address:
Contractor:
Street Address:
>:WATER MET • EPOSI.T1' <;<
REFUND /BILLI
MOA1T
;<SERV!
B1LUNGS 4T
❑ Water
DESCRIPTI OF'<
❑ Multiple - Family Dwelling
No. of Units:
❑ CommerciaVlndustriai
City of Tut . vila
Central Permit System — Engineering Division
6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188
Site Address:
Name of Project:
'MISCt_LLAi�IEOUS; ❑ New Building
Square
INFORMATION Footage:
King County Assessor's valuation of existing structures: $
J HEREBY:CERTIFY;THAT (H READ >THIS APP LICATI ON;;
Applicant/Authorized 41---> 2
Agent Signature: �
Print Name: /vJd, 1 tlo - c1a ✓I
Date: 7��`� Z Phone: '"5t X09'0
Date Application Accepted: f ' QC3_
UTILITY PERMIT APPLICATION
13 0q I '4crt ✓ - .
R N0 - e.f r \0+
M f?r - k.e , , r C
C t ° i O 5 a- Co--H-1
El Hotel
❑ Motel
❑ Office
❑ Retail
King Cty Assessor Acct #:"1
0 - Contractor's License #:
❑ Channelization /Striping /Signing
::`REQUESTED > ❑ Curb Cut/Access /Sidewalk
• ❑ Fire Loop /Hydr. (main to vault) — No.: Sizes:
❑ Flood Zone Control
❑ Land Altering cub k yards
❑ Hauling ❑ Moving an Oversized Load
Est, start/end times:
Date:
❑ Landscape Irrigation
❑ Sanitary Side Sewer — No.:
❑ Sewer Main Extension ❑Private ❑ Public
; Name: s �s-vi.„vv
Street Address:
Name: •
Street Address:
❑ Sewer El Metro _ ❑ Standby
� Singie- Family Residential'
❑ Duplex
❑ Triplex
D Warehouse
❑ Manufacturing
❑ Remodel/
Addition
❑ Apartments
CI Condominiums
❑ Church
CI Hospital
S v. � LA lcw ( g
City /State /Zip:
Phone No.:
City /State /Zip:
Phone No.:
City /State/Zip:
Pqa- 005
❑ Other:
Phone: (206) 433 -0179
�y'On03 U� N j A Exp. Date: N IA
Contact Person
n - ma ce c .e / o- t c c 1
Address: S/ 9 0 So . /, err',
Phone No.: ' 4 3 - 050c)
City /State /Zip: 'Tc. k u.,114 w !3 9 g f 8 $
Phone No.:
City /State/Zip:
Phone No.:
❑ 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: . \a. vJ,,, - 1 - , o.v)
❑ School /College /University
❑ Other:
Square footage of original building space:
Square footage of additional building space:
Valuation of work to be done: $ 0
RR ECi .
r'
r t u/,t 984V Phone: X 5 — o g 06
Date Application Expires:
02/05/92
SUBMITTAL CHEC .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/
CHANNELIZATION /STRIPING /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`'` 'ZWER
O Type of pipe - condrv.a, 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 points) 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 review and the 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.
P roject: x7 aF '2 . ,, 1 s � S
frPeo nspedbq�(�/xx,/ yi,..,
/
Address: / 91 4Io 4. .4u � s y
Date Called: _3. 3 _ c j 3
Special Instructions:
(2 // - 7
,G V / '.i1 c ea 7
7 ia) e9 f
..S ;
Date Wanted:
y 54
ram p.m.
Request
Phone .. '�) 7 "' r
c� U >
✓✓
)
[,Approved per applicable codes.
COMMENTS: '
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
7
PERMIT No.
(206) 431 -3670
❑ Corrections required prior to approval.
El $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Project: d
, z 0-444,,
Type of /)
/�
Address: ' '
Date Called:
Special ns ruct ens:
Date Wanted:
I C� /942. am. p.m.
Requester: Nie cl '.4-
Pibne No.: Le.L _ . r1f�
COMMENTS:
nspector:
e.
INSPECTION RECORD
- Retain a copy with permit k-)
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT No.
(206) 431 -3'670
❑ Approved per applicable codes. Corrections required prior to approval.
721A °; 12440 AA,- wtelt' -t.. < •
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspectlon, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
PrOJ ct .
Type of Ins 3n'
{ '
Af e d ) 4344 five" t ... ,
Date Called: -3-9
Special InstrLctions: r
'iWU¢L4 . 9 1- ep tom
. :;:, •
Date Wanted: / - J
am. p,m
Request@r;'V^
�
/
A 196... "
�
Phone No :
'---
INSPECTION RECORD C
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
COMMENTSi:; ...
Goa
(206) 431 - 3670
❑ Corrections required prior to approval.
❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
'r ***kh *• *** * ****/(h *mk **** t * *** *** * *k*k* *k * *A** *** * *h * * **k**A.
CITY OF TUKWILA,.WA TRANSMIT
******* h* A**k k***** k*kkkk* k****** ** ** ** * *k * * *** * *k * * * * **** * ** * **
TRANSMIT Number: 92000330 Amount: 2,000.00 04/20/92 13 :23
Permit No: B92- -0130 Type: 9-DEMO DEMOLITION PERMIT
Parcel Na: 734060 -0903
Site Address: 13041 40 AV S
Payment Method: BOND Notation: SURETY BOND brit: SLB
********* k************************* * *** * ** * ** *k ** * * * * * * * **k* * * **
Account Code Description Paid
000/386.905 BUILDING BOND /DEPOSIT 2,000.00
Total (This Payment): 2,000.00
Total Fees:
'Total All Payments:
Balance:
2,030.00
2,030.00
.00
40400i:0 "4rid{ri'0 i r G� 1i74' %• '4 ;rie ' O i • "u.4Vj`7PRV ?,
G
1 Total ! ee3
Tat O All Pa0eryts:
?balance:
2,030.00
30.00
2,000.00
h*kl rsl'*'***hk74***•kAtiF71'k* * trek* **iF**rlyh*dl '*74'****Ar *****a *hk *•k•kh********
ITY OF TUKWILA, WA TbMNSMIT
*********************** * * **h * * * * * **• * *k*** * *k *******
TRANSMIT Number'.: 92000329 Amount: 30.00. 04 /20 /." X 2 "•. 2
Permit No: B92-0130 Type: B-DEMO DEMOLITION PE"R T
Parcel No: 734050 -0903
, Site Address: 13041 40 AV S
Payment Method: CHECK Notation: NADINE MORGAN Init: SLR
** k*** h******** * * ** *•k *** * *•k* ** * **k * ** * * * *k* *fir **k* * ** * *k* *•k * * * **
Account Code Description P a i d
0 /322.100 BUILDING - RES 30.00
Total (This Payment): 30.00
VIRP$V4Ki1ya gWIFIM tOti°^
GENERA 30.00
TOTAL 30.00
CHECK, 30.00
CHANGE 0.00
9090A000. 12:22
CITY OF TUKWILA
Permit No: B92-0130
Status: ISSUED
Applied: 04/20/1992
Issued: 04/28/1992
****************************************************
Address: 13041 40 AV S
Tenant: RIVERTON LOT
Type: B-DEMO
Parcel #: 734060-0903
********k**************
Permit Conditions:
1. ALL ACTIVITY IS TO BE CONFINED TO WITHIN 10 FEET OF THE
STRUCTURE.
2. All permits, inspection records plans shall be
maintained available at the job site prior to the start of
any construction. These 6CUMints ali'id-Inal,ptained
available until fA4P approval Is granted
3. Validity of pcgiittv: The issuance Ata pe'm1t 04'.',407,0val of
'plans, speci09atisps° 00'cOmpdtatiohs.sh410hot fi's
strued to ,b;64:e'permq-44, or an approval fib W any violation
of any of *O6 proOSNons of4PthTs code tr any other
ordinancivof thekjut'is-rotio0„,ANo,permit or,esuniApg to 9.19,q
authoreeor capCel61'
\t..provisioniof'496cod0'
shall
4. Remove„..alweeds„ l'''' concrt.e
eex foundations, flat con '
' 4
i,f7V il J., ' one ..0
cret0 patiostmasoriw_walls, garage flo6rs;ArTveL,
way '14.6(Wiittla6 structures ad ' all loose miscellaneous
mat ( Oalk from such lot of:g'round, properlk oW,0
q ,p,
sat)oary seaen,andmaton fill br" ,
ft - .','
°tile wise protect all baseni 0,Vars,,,s6ptic tanks,
wen) and okthgr:r6xcayWOn 0,, wV u nless //
5. No1 be made f:1 plcis ,japprovedby
ILA la BmIldlng'OlvtsloW./\:' 's ..-"'
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Dear Sir:
Yours truly,
cc: T.F.D. file
ncd
City of Tukwila
FIRE DEPARTMENT
444 Andover Park East
Tukwila, Washington 98188 -7661
(206) 575 -4404
Fire Department Review
Control #B92 -0130
(512)
Re: Riverton Lot - 13041 40th Avenue South
The attached set of building plans have been reviewed by
The Fire Prevention Bureau and are acceptable with the
following concerns:
1. There shall be no accumulation of debris on site.
There shall be no burning on site.
Any overlooked hazardous condition and /or violation of the
adopted Fire or Building Codes does not imply approval of
such condition or violation.
The Tukwila Fire - Prev Bureau
April 23, 1992
John W. Rants, Mayor
C� & M Properties, Inc.
Attachment to Demolition Permit Check -Off List
Legal Description of Riverton Lots Project
North half of the north half of Tract 59, Riverside Interurban
Tracts, according to the plat thereof recorded in Volume 10 of
Plats, page 71t, in King County, Washington;
EXCEPT that portion conveyed to King County for road purposes by
deed recorded under Recording Number 5693446•
DEPARTMENT OF LABOR AND If STRIES
Division of Building and Construction '
Safety Inspection Services
CONTRACTOR'S REGISTRATION SECTION
P. O. Box 9689
Olympia, Washington 98504
Registration No
By: "? r c r 14
U•U33'3 Contra I.r s Surely Ilona U40 FAB 94
Required by the Contractor's Registration Act
(Must be given for renewal of Chapter 77, Laws of 1963. RCW 18.27
registration)
2271 -98
ONE YEAR
CONTRACTOR'S SURETY BOND
B
BOND NO 98 -06- 8703 -2
CHASE MORGAN PROPERTIES g business as C & M PROPERTIES INC
as Principal, and STATE FARM FIRE AND CASUALTY COMPANY , a corporation organized and
existing under the laws of the State of ILLINOIS and authorized to
transact surety business in the State of Washington, as Surety, by this bond bind ourselves and our heirs, executors,
administrators, successors, and assigns, jointly and severally, to pay the Slate of Washington SIX T HOU S AN D
dollars lawful money of the United States of America.
The Principal has applied for a Certificate of Registration, from the Contractor's Registration Section of the Washington
State Department of Labor and Industries, to carry on the business of a contractor in the State of Washington. The
Principal is required by chapter 18.27 of the Revised Code of Washington (RCW) to furnish a bond in the penal sum of
S IX T HOU SAND dollars with good and sufficient surety. The bond must be conditioned as required by RCW 18.27.040.
If the Principal, in compliance with the provisions of chapter/18.27 RCW, pays all (1) wages and benefits to persons
furnishing labor to the Principal, (2) amounts.that are adjudged against the Principal because of negligent or improper
work or breach of contractor that arise in its conduct of the contracting business, (3) persons who furnish labor and
materials or rent or supply equipment to the Principal, and (4) taxes and contributions due to the State of Washington, the
obligation of the Principal and the Surety shall be null and void. If the Principal does not pay the above claims, the bond
shall remain in full force and effect, In no case shall the Surety be liable for any claim not Included in RCW 18.27.040.
Any person that has a claim against the Principal, arising from the failure of the Principal to pay any of the four items
referred to in paragraph 3, may bring suit upon this bond in the superior court of the county in which the work was done, or
of at,* county in which the court has jurisdiction over the Principal. The suit must be brought within the time and In the
manner required by RCW 18.27.040.
The aggregate liability of the Surety under this bond for claims against this bond shall not exceed the penal sum of this
bond. No extension by continuation certificate, reinstatement, reissue, or renewal of this bond shall increase the liability
of the Surety. If the claims against the bond that are pending at any one time exceed the remainder of the aggregate
liability minus the amounts previously paid by the Surety because of other claims against this bond, the claims shall be
satisfied in accordance with the provisions of RCW 18.27.040.
This bond shall become effective 03/23/92 and shall remain
in force until (1) 03/23/93 , or (2) the date the Principal's
Certificate of Registration expires, whichever is earlier, unless the Surety sooner cancels the bond. This bond may be
continued for additional periods by continuation certificate at the discretion of the Surety.
11 the Surety cancels this bond, the Surety shall notify the Contractor's Registration Section at least thirty days before the
effective date of the cancellation.
THIS BOND SHALL BE VOID IF THE PRINCIPAL DOES NOT FILE THIS BOND WITH THE CONTRACTOR
REGISTRATION SECTION WITHIN THIRTY DAYS OF THE DATE THE BOND WAS EFFECTIVE. • •
IN WITNESS OF THIS CONTRACT, The Principal and Surety have affixed their hands
and seats this 2 OT H p day of MARC 19 q 9
Principal's Name Q. Z1 i" Of � 'rt+'e I.-(' Surety Name 1
STATE FA M FICASUALTY CO
JIM REISER ATTORNEY —IN —FACT
POLICY NUMBER
TYPE OF INSURANCE
POLICY PERIOD
Effective Date i Expiration Date
LIMITS OF LIABILITY
(at beginning of policy period)
9r..)--...iv—t.) : U t.:
This insurance includes:
Comprehensive
Business Liability
❑ Products - Completed Operations
• Contractual Uabllity
❑ Underground Hazard Coverage
❑ Personal Injury
❑ Advertising Injury
❑ Explosion Hazard Coverage
• Collapse Hazard Coverage
❑ Ggr�jpl lggre��tQ l,irnit
or 1. .i• "Lr!
U zi / 01/ / '' 2
applies to gtich project
POL1C1
u4; O .:. / .3
%
/
BODILY INJURY AND
PROPERTY DAMAGE
306: 0 0(
Each Occurrence $
60t; , +J () ;
General Aggregate $
Products - Completed 600, 0t ; t
Operations Aggregate $
EXCESS LIABILITY
POLICY PERIOD
Effective Date ; Expiration Date
BODILY INJURY AND PROPERTY DAMAGE
(Combined Single Limit)
Each Occurrence $
• Umbrella
❑ Other
Aggregate $
Workers' Compensation
and Employers Liability
Part 'I STATUTORY .
Part 2 BODILY INJURY
Each Accident $
Disease Each Employee $
Disease - Policy Limit $
POLICY NUMBER
TYPE OF INSURANCE
POLICY
Effective Date
PERIOD
Expiration Date
LIMITS OF LIABILITY
(at beginning of policy period)
1.
•
This certifies that
insures the following policyholder,for jhe joymlEct
Name of policyholder
Address of policyholder
Location of operations
Description of operations
The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms,
exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims.
Name and Address of Certificate Holder
STATE OF dASiii iGTou
DEPARTMENT OF LABOR AND INDUSTRIES
CONTn;CT770 REGISTRATION TECTION
20 . SOY. OY 1450
({]
9r,564-
656. 991..1 Rev. 341 ported In U.S.A.
❑STATE FARM Fir AND CASUALTY COMPANY, Bloomington, Illinois
•
❑ STATE FARM .ERAL INSURANCE COMPANY, Bloomington, Illinois
5190 S 156TH
TUiKWILA WA 98188.3275
If any of the described policies are canceled before its
expiration date, State Farr will try to mail a written notice to
the certificate holder `' days before cancellation. If,
however, we fall to mail such notice, no obligation or liability
will be Imposed on State Farm or its agents or representa-
tives.
Tele
//g
u. of Authorized Fl.pr.wullve
G
Agent's Cod. Stamp
¢ 6 -9,
Oat.
CITY OF TUI�WILA
6200 Southcenter Boulevard, Tukwila, Washington 98188 (206) 433 -1800
TO: T.s'E D r.ELOP/y. -i✓ /7hE
FROM: /OtiiY ,d 're'igk'Or
DATE:
SUBJECT: r"1Q8
NO /./T /G/
NOT' A/A-rA775 - SARI /YO OZ '/ :,Q Pfi/ . � W,P'n p�7
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p';t: /T coD,eni'v4? A'
MEMORANDUM
l ai r i•
r-
Mar 01, 1993
MORGAN NADINE
5190 SOUTH 166TH STREET
TUKWILA, WA
98188
•
Dear Permit Holder:
Our records indicate that on Apr 19, 1993 one hundred and eighty days will
have passed with no inspections having been called for under Tukwila
Building Permit Numbert.B92=0130. 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
Apr 19, 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,
i
City of Tukwila
Department of Community Development Rick Beeler, Director
Denise Millard
Permit Coordinator
Department of Community Development
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188
C.
(206) 431•3670
John W. Rants, Mayor
Fax (206) 431-3665
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TOPOGRAPHIC SURVEY
FOR: ; & M 'PROPERTIES INC.
THE NORTH HALF OF THE NORTH HALF OF TRACT 59,
RIVERSIDE INTERURBAN TRACTS.
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FILE COPY
I I), ,,ierstand that the Pim) Check annrowal9 re
io errors and •
does not atithori:.
vo.coteri code or ordinanc,:: 1 . 7 4-w.c.-_-; ; fii 0.; . •
1 tractor's copy of approved plans acknovviadc.jk
o ostpistivmemliqtm4■4ii
• •••••••
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I 1 I 1 I I 1 I 1 I I I 1 I 1 I 1 I / I LI 1 I 1 I 1 1 ri 111 Lipp I1111
2 -3
4 5 6 '7 8 9
! ?Ott: If the microfilmed document is less clear than this
i notice, it is due to the quality of the original document.
By "
Date
Permit No.
(E (3E Mov'E.b
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41111111 111111111111111111111111111111111111
10 11 MI6 IN GE1444AilY 12
C .,-404 5 m
2) Emoi...r-n c ,),NJ 19-dess--
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CITY OF TUKWILA
APPROVED
PR 2
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JLDNG 0/VISION
RECEIVED
CITY OF TUKWILA
APR 2 0 192
PERMIT CENTER
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