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Permit B92-0268 - NEWMAN RESIDENCE - PRE-MOVE INSPECTION
This 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. B92 -0268 Newman, Robert 3522 South 130th 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 55 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. • 0 N(\MMikK RCA3ERT TO: FROM: DATE: September 1, 1993 SUBJECT: Bond Release Please release cash bond for $4,950.00 payable to Diane Newman. The project has been completed and the building official is authorizing the release of the cash bond for Permit Number B92- 0268. The original transaction was 9- 22 -92, Receipt # 3614 for $4950.00. Please forward the check to my attention. Tha k You! Building Oaf' ial r City of Tukwila Kim Hart, Finance Sylvia Osby, Administrative Clerk Department of Community Development Rick Beeler, Director John W Rants, Mayor 6300 Southcenter Boulevard, ,:.te #100 • Tukwila, Washington 98188 ,206) 4313670 • Fax (206) 431-3665 City of 711kwil' Permit No: B92 -0268 Type: B -RELOC Category: RES Address: 3522 S 130 ST Location: Parcel #: 735960 -0085 Zoning: R1.72 Type Const: V -N Gas /Elec: Wetlands: Water: N/A Sewer: N/A Contractor License No.: DBSIN * *124N6 Units: 000 Buildings;: 000 Fire Pro'tection: Signature: BUILDING PERMIT Date (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Status: ISSUED Issued: 09/22/1992 Expires: 03/21/1993 Type of Occupancy: DWELLING Slopes: X TENANT NEWMAN, ROBERT OWNER BOWIE DONALD & GAYLE 3767 S 194TH ST,. SEATTLE WA 98188 CONTACT NEWMAN, ROBERT 341 SMITHERS AV S, RENTON "WA 9 8055 CONTRACTOR DBS INC. 341 SMITHERS AVE S, RENTON WA 98055 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: PRE MOVE °INSPECTION AT 21316'22 AV S DES MOINES FOUNDATION PLANS SUBMITTED FOR HOUSE MOVE 8 -14 -92 SETBACKS Back: Right: Phone: 206 277 -1287 Phone: (206) 277 -1287 UBC Edit`i.on:,, ."Valuation: 7,000.00 ;`Total Permit Fee: 5,143:00 ******* * * * * * * * * * * * * * * *t * * * * * ** *k * * * ** or"ized Signature jD,ate I hereby certi:fy'.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 permit' does not presume to:. give au.thori,ty'to violate or cancel the`p"rovisions of any" other. state or local.. laws regulating construction orthe."performance of work. I am authorized'to sign for and obtain this build fng`;p;rmit. Print Name: _ __../.4n1C Cvz/' ;fi't "1e 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. Zo',d \2uuscerred MOVING AN OVERSIZEb,LOAD Issue Date: 11/19/1992 Approval Letter: 09/18/1992 Expires: 01/18/1993 Permit No: PW92 -0248 Status: ISSUED Parcel No: 735960 -0085 Site Address: Location: HOUSE WILL BE LOCATED AT APPROX. CENTER OF LOT Start Time: 3:00 AM Bond Number: US BANK, BEAR CR • End Time: 6:00 AM M OWNER BOWIE DONALD & GAYLE 3767 S 194TH ST, SEATTLE 'JA` °9 CONTACT NEWMAN ROBERT .4 '� " "' 341 SMITHERS AVE: • " "RENTON 98055 CONTRACTOR REDMOND MOVERS- ;. - , ' ; 10503 268 'AV'.-NE, CARNATION, 1 34A , 9 . 8014 ******• k * * * *•k * * *: * * •A * * * * * ***•k k * * **•k* * * ** k*• k ** * * * •k * * * * * * * * * * * * * * ** * * * * **•k ** Plan Ch Fe :, , , - %10`.00 " t• r . inspecti o!v Fee i. a L15.00 '.:O t h e r,, F e'e - : 0 0 , ; ; ; .TOTAL FEES: ti' , , 25.00 * * * * *** * * * ** * *` *** * * * * * ** * k * * ** ** k* ** **•k * * *•k * ** * * * * * * * *it * * *•k k k *•k ***•k *•k * * * * *•k ** is , , The undersignedh i'es for 'permission to per hauling per attached map in accor,dance,.witti the fo.11owing;condi t,ions: , '; 1- Flagging.! si fand conng...shal`;l be 'in "" accordance with MUTCD for traffic contro11'4 ,; ' ,' ...,, 2- Contra'ct shall ,prow,i "certified f.lagmenforj:•traffic control. 3- Sweep ; or! otherwise .�:c,l ean' streets to . ttie' satisfaction of Public � Works each night laroun h d,4.aul irlg r o "ute. flushing, al lowed) . Phone: (206)277 -1287 Phone:. 206 788 -3485 4- Notifcity ,,inspector'before 12:00 noon •friday precedingu, any weekend work • 5- Permit va,.id between - the: weekday iou 7 - :00 a.m. and 3 :30 p'm, only 6- Clean grid re debris.,:�f.rom,,ci ty .c`atch•''bas ins. ",i n and around `'hau ling routes, ; ,• 7- Provide,y��degga a 'temporary access as', not- to . interfere with other vehicle movemen'tr.';or.,cause • •trucks to travel ov`er:-curbs_. 8- All veh' make complete stop.prior; to entering public night -of -way. 1. EMPLOY TEMPORARY EROSION CONTROL MEASURES'. AS NECESSARY DURING SEWER LINE CONSTRUCTION TO PREVENT SILTATION ON AD'JA'CENT PROPERTIES. **•k * * * * * * *** * *ik * * * * ** * * *•k ************ •k*k * * *•k * ** *** * **•k *•* k* k* * * ** *•A** * * * *•k * THE APPLICANT MOS,T THE INSPECTOR. OF AND COMPLETION OF WORK AT LEAST 24 , URS IN ADVANCE. 433 -0179 Signatures �,r _ •k * _ Date: 2/ 1,, •k * * * * ** * **•AA* * ** * ** ** * * * *•k * ** * * * *k ** *** *•k *•A *** * ** * * *k ** ' A ' k * * *** * * *k * * *k *F • APPROVED 'OR ISSUANCE BY: JAR • Issued By: Authorized Permit Center Signature Date **• k********************** k******************' k** k* ** * ** ** * * * * * * * * * * * * * *•k * * * * ** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Final Inspection Approved By: e tor.Si nature Date P � Ins g ylwvo-. 1/11(q3 do41(.. PLAN CHECK NUMBER 1�� -0alo� REVIEW COMPLETED PERMIT NO. DATE READY PERMIT EXPIRES (I bo 3RD NOTIFICATION , q3°. e)0V U it Cert. t 3 ../ AMOUNT OWING BUILDING PERMIT APPLICATION TRACKING PROJECT NAME tio/Yylan, p, SITE ADDRESS — SUITE NO. 3.5a ?- 3 .() 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) FLOOR. TOTAL SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. TOTAL LOAD SQUARE FEET DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. ` 4 R ROUTED 9/8 FIRE PROTECTION: ZONING: Sprinklers Detectors BAR/LAND USE CONDITIONS? MINIMUM SETBACKS: N- Ip S- ' E C W- ' - UTILITY PERMITS REQUIRED? S - nitial review 'C PLANNING PUBLIC WORKS 0 OTHER FIRE DEPT. LETTER DATE REFERENCE FILE NOS.: E Date Approved - INSPECTOR: 5-72 TYPE OF CONSTRUCTION: UBC EDITION (year): CONTACTED DATE NOTIFIED 2nd NOTIFICATION TOTAL OCC. LOAD BY: (init.) BY: (init.) BY: (init.) SITE ADDRESS iJ∎C'V C `t U SUITE # -2.131-6 -2-2nd -Ave _ South 6 :� ;-) C� ( ') C. 1 VALUE OF CONSTRUCTION - $ 1 N/A 4 0 C� ( ASSESSOR ACCOUNT # N/A / 3 j 9f „ 0 _ 85-_ O PROJECT NAME/TENANT Newman, Robert & Diane TYPE OF Li New Building Li Addition 0 Tenant Improvement (commercial) • Demolition (building) WORK: O Rack Storage L] Reroof Cl Remodel (residential) ® Other: PrP -mnvp TnspPrtion DESCRIBE WORK TO BE DONE: Pre-move inspection at 21316 22nd Ave South for house 1922 So 130th, Tukwila, , - .11�,,.6-01_ F,tiw ID; +°- ) 1 to be moved to -s. . -t' ,,„•«.,t (ae , tip `` - ''', :--4- '— r BUILDING BUILDING USE (office, warehouse, etc.) Residence NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? El No O Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: 1140 SF Approienant Space: Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? 12 No O Yes IF YES, EXPLAIN: PROPERTY OWNER PHONE Newma, Robert & Piane (206) 277 -1287 n_ ADDRESS 3, NI -r A - • R- •n,Wash. ZIP 98055 CONTRACTOR D.B.S., Inc. PHONE (206) 277 -1287 ZIP 98055 ADDRESS 341 Smithers Ave So Renton Wash. WA. ST. CONTRACTOR'S LICENSE # DBSIN * *124N6 EXP. DATE 7/93 ARCHITECT WA PHONE ADDRESS ZIP CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK NUMBER BUILDING OWNER OR AUTHORIZED AGENT DATE APPLICATION ACCEPTED PRINT NAME Diane Neuman ADDRESS Smithers Ave So, 7- BUILD1N PERMIT APPLICATION DESCRIPTION:: BUILDING PERMIT FEE:: <:> PLAN CHECK FEE.. BUILDING SURCHARGE '> LHEREBY:CERTIFYJHAT:I .HAVE READ::AND E.X'AMINED;THISAPP:LICATIOW' BE .TRUE AND::CORRECT AND: I AM AUTHORI p TO:APPLY>FOR TH1S PER SIGNATURE MOUNT: DATE APPLICATION EXPIRES RCPT: # Rlifi s OTHERS TOTAL f. j D:KNOW THE SA ME:' DATE r /a z7i/1 PHONE (206) 277 -1287 CONTACT PERSON Robert E.Newman PHONE (206) 277 -1287 CITY/ZIP Renton,Wn 98055 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,orcontractor, 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. 4/1 ' 1 I •T Energy calculations stamped engineor or. architect ..• • Legal.descriPtion'':;• ' : .... ................. I : Working drawings,' stamped arChltect,..which.inClude: . . . • .••• „ . „ •• • .. • ••• • • . .•• . ••••.•• • .• .• .• . . • ••• Sito plan • "•'• • • ••••••••Architectural Elevations' •• :• . ; . Civil drawings ..."" •; • ; .1 ••,.:: ; Landscapel plan ' - • : : :' ' ......"'::::•": ..1: . ••••• ' : RACK STORAGE ..:: . : : . ... • : : ; . : , :::::::::::::;....: .:1..:.: - , . .. . - : : .. ,,....... ..... ;.:: . ,. . ...... .. .: : .... . . ... :: . ., ... ...„ ...., .. . , I .COrnpleted 1?uilding peirtnit application .• ..... ,;:*-: .: :: ,: :..: .,::::::, .. . - . :.: , , . .: ..... :,.::.,•.. ,.. . : .. . . . :. :• ... ,. ,,,.• , . ••■••••■•■•• Entite.:spacpWherejacke . .. piniei Tenant space iloor pian showing rack storago iayout, aisles and . •: . ..................................................................................................................... .................... • and exit ways on plan ••••■•••■• " • • " •• • • •: : : • •• • • • • . • . • • • . • • . • : ; •: „... by a Washington State l;censed Completed utility : permit application (one. for entire project) SUBMITTAL CHECKLIST • • . • • •• •• • • •• •• Asso$sorA�ourfl .. ... . .. .. Two (2) sets ot pTan which include . . . ... . . .„ • Building.floOr • Structura calculations starniiedOy.a;Nisliingion;Stata:liCansed : • . :.'engineer:(rack':atorage .8 and Over) ........ „: .. . . . . COMMERCIAL TENANT IMPROVEMENTS Completed b.OlOing: permit .apolicattori::(okt0r:0P!) AsseasOr:ACcOunt Two (2) sots of construcbon pTans, whlch include LocatIon of tenant soace . . adjaCept: • of buildi9g.."?.• RESIDENTIAL REMODELS REROOFS . . (common wail) tenant .. .... • • 66:req11 deirOlishe. Cross sections showing wali construction and method ho of •. '••• . F176 propo *.• .. Tenant space 13 an with usa of each room labelled doors, existing wall, a • New Walls , exsnd walls to be n details Constructio . . .. .. 4 ••• ••••••••„:- •: •-.: 1.. ern? • tjons sta,. rn tPsteucturO:.... t111r. ired i • .:„.;:„:. . . • _0" • • .0;..subl711i Stru State iicensed t .. • 0 -s ; 47 :;;; et?' /4-1/"Ilici .. .. .. .. .. ......... . ss°r••••••,•••••••.•::•••:. • • .'• •••••:.•••••• thatan letter roo nsf .. be ing . ................ .. . structure) . . n .. . ::•• . . NOTE A wcat10 11_,..... „ • . ....... .. . . ..; ....; .... : .DISHES o' - 'thepermit ANT • Two (2) 7r.; •. Site PIan (showing ■6.11000.10.. n n Structural calculations stamped by a Washlngtoi State licensod . . ...... M.1•••••■•1111•1•101 COMPleteld eactl:,strUCture •. •. "•- • • • .......... .• A sses s o r .•••• Account Nurber • wo (2) 'ss;Of:•••;/!?Ori46ii::0.;-!e.' Site Floor plan Roof plen ............... "Building. ....] N OTE 11 any u tilily stijOrk•:14;ti; and plans must bo subrn,ttod • •••.• ... • . . ... .... ; . . •.•-••• • ••- • • • Completed buildlng permit aPpliCatiOri (one forpact! structuro L. .• • • matenal beirig installed SITE ADDRESS SUITE # 3522 So 130th VALUE OF CONSTRUCTION - $ $4500.00 PROJECT NAME/TENANT Newman, Robert E.& Diane ASSESSOR ACCOUNT # 73560- 0085 -07 TYPE OF ❑ New Building • Addition • Tenant Improvement (commercial) Li Demolition (building) WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) KJ Other Move -in house DESCRIBE WORK TO BE DONE: Move house onto site, construct footings and foundation, set house on foundation BUILDING USE (office, warehouse, etc.) Single family residence NATURE OF BUSINESS: Residence WILL THERE BE A CHANGE IN USE? ® No ❑ Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: 1120 SF Tenant Space: Area of Construction: 1120 SF WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? ® No ❑ Yes IF YES, EXPLAIN: PROPERTY OWNER Donald & Gayle Bowie (PHONE 246 -7015 ADDRESS 14952 18th Ave SW, Seattle, Wash. ZIP 98166 CONTRACTOR D. B. S. Inc. PHONE 277 -1287 ADDRESS Smithers Ave So., Renton, Wash. ZIP 98055 WA. ST. CONTRACTOR'S LICENSE# DBSIN * *124N6 EXP. DATE 8/93 ARCHITECT N/A PHONE ADDRESS ZIP CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boijlevard, Tukwila WA 98188 (206) 431 -3670 Cll,D _ 01 0 1 HEREBY!:GERTIFT: I HAVE READ, AND EX. AMINE THIS APPLICATIQNAND THE.SA►ME:' BE >TRUE AND :CORRECT, AND I AM>AUTHORIZE.D,T©:'APPLY FOR;THIS :PER DATE e f / 3 BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE PRINT NAME Robert E . Newman ADDRESS 341 Smithers Ave So 'Sc l a Nwiiman CITY/ZIP Renton,Wn 98055 CONTACT PERSON Robert E E. Newman (p?j�� C,�Uj(�i PHONE 277-1287 APPLICATION SUBMITTAL In order to ensure that your application is ac application completely and follow the plan submittal checklist on the the Building counter which provide more detailed information on am Application and plans must be complete in order to be accepted for VALUATION OF CONSTRUCTION Valuation for new construction an Community Development prior to application submittal. Contact the application. In all cases, a valuation amount should be entered by tt subject to possible revision by the Building Division to comply with BUILDING OWNER / AUTHORIZED AGENT If the applicant is otherth licensed by the State of Washington, a notarized letter from the pro permit application and obtain the permit will be required as part of th EXPIRATION OF PLAN REVIEW Applications for which no permit is ism expire by limitations. The building official may extend the time for a days upon written request by the applicant as defined in Section 31 No application shall be extended more than once. If you have any questions about our process or p/al contact the D:. • of Community Developme DATE APPLICATION ACCEPTEf1fY 01 AUG 9 4 199 BUILDIM PERMIT APPLICATION DESCRIPTION BUILDING: PERMIT FEE PLAN CHECK FEE;' BUILDING SURCHARGE OTHER; ....................... DATE APPLI TOTAL:;:' t 40 'F. (.." .7 ; / ATIO U RCPT # AM' UNT •i;t ' ..d EXPIRES PHONE 277 -1287 he at ng or hall SITE ADDRESS SUITE # 3522 So 130th VALUE OF CONSTRUCTION - $ $4500.00 PROJECT NAME/TENANT Newman, Robert E.& Diane ASSESSOR ACCOUNT # 73560- 0085 -07 TYPE OF 0 New Building U Addition Li Tenant Improvement (commercial) U Demolition (building) WORK: C) Rack Storage 0 Reroof 0 Remodel (residential) J Other Move -in house DESCRIBE WORK TO BE DONE: Move house onto site, construct footings and foundation, set house on foundation BUILDING USE (office, warehouse, etc.) Single family residence NATURE OF BUSINESS: Residence WILL THERE BE A CHANGE IN USE? ® No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE- Building: 1120 SF Tenant Space: Area of Construction: 1120 SF WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? ® No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER Donald & Gayle Bowie 'PHONE 246 -7015 ZIP 98166 ADDRESS 14952 18th Ave SW, Seattle, Wash. CONTRACTOR D. B. 5., Inc. PHONE 277 -1287 ADDRESS Smithers Ave So., Renton, Wash. IZIP 98055 WA. ST. CONTRACTOR'S LICENSE # DBS IN * * 12 4N 6 EXP. DATE 8/93 ARCHITECT N S A PHONE ADDRESS ZIP CITY OF TUKWIL.A Department of Community Development - Building Division 6300 Southcenter Borlevard Tukwila WA 98188 o I D (206) 431 -3670 PLAN CHECK NUMBER BUILDII\ PERMIT APPLICATION AM•UNT:: RCPT:# SURCHARGE:: DESCRIPTION BUILDING. PERMIT FEE: : PLAN:. CHECK FEE ::: < "< <;» BUILDING OTHER: `.7O.TAL ) . BUILDING OWNER OR AUTHORIZED AGENT PRINT NAME Robert E . Newman ADDRESS 341 Smithers Ave So Tyjgye 1+p uxriCt►'\ CONTACT PERSON Robert E. Newman PHONE 277 -1287 CITY/ZIP Renton,Wn 98055 5-?„„. PHONE 277 -1287 HREBY;CEFiTIFY;THAT I HAVE READAND:EXAMINED THI$ At?PLICAT1pN; BC:TRUE AND<:CORRECT,`AND I AM: AUTHOFIZE TO APPLY FO:R THIS :PERMI°T DATE 8 E $AME 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 pwiod 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 D . 1 9pl Community Development Building Division at 431 -3670. DATE APPLICATION ACCEPTETTYl F TI JI v DATE APPLI ATIO EXPIRES AUG 1 41992 7 ( p bl 1 COMMERCIAL- NOTE:f See utility permit application and checklist for specific utility submittal requirements racks Legal description- Assessor Account Number" Two sets (2) of working drawing Site pIan -=--. • ip„. Foundation plan will • Floor plan •. Roof plan Building elevations (all ng ele vations (all views • Bu •Structural framing plans one for entire project) be beat aisles an which include Inn: show closc location; " g showing Completed utility: permit application - Six (6) sets of Site plans showing utilities NOTE: Building site plan and utility site plan may be combined See utility permit application and checklist for specific submittal requirements, Additional topographical and soils jniorniation may be required rf unique COMMERCiAL TENANT. IMPRO■EMENTS :. { I Completed building permit application (one for oath structure or tenant) n Assessor Account Number Two (2) ' co ion pla ses of nstructns, Site'plar Location:of • Existing and proposed parking Landscape plan (if applicable, I e ; change of use Overall building plan •:Tenant location' Use of adjacent: (common wail) tenant r Overall. dimensions of building orsquare 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,demolished Construction details •Cross sections showing wall construction and o f attachmentfor,floorandceifmg .;. Structural caiculations:stamped y a Washington State,licensed engineermay be required if structural work is.:to tie done (2 sets) NOTE :lf any utility Is tc be done, submit separate •utility permit application and plans REROOF Completed building permit application one for each structure) Assessor Account Number Narrative describing existing roof, matenal being removed, and •material being installed:: NOTE A certification letter is required poor to final inspect on and sign • off of the permit ANTENNA/SATELLITE DISHES • 1 l Completed building permit application Assessor Account Number Two (2) sets of plans, which include Site Plan (showing building and location of antennalsateliite dis Details: an.tennalsatellfte'dish and method of, attachment: structure one for each struc NEW COMMERCIAL BUILDINGS /ADDITIONS Completed building permit application Assessor Account Number Two sets. (2) Of the following: Specifications Structural calculations stamped. by a Washington State license engineer Soils report stamped by a Washington State:licensed engineer Topographical survey., Energy calculations stamped by a.Washington State licensed' engineer or architect 1 RACK STORAG Completed building permit application Assessor Account:Number Two:(2) sets of plans; Which :16 Building floor planahowingf • Enure space where Exit. doors ': Dimensions of all aisles Tenant space floor plait showing rack storage layout, exits NOTE: Include dimensions of racks (height, and exit ways. on plan ; RESIDENTIAL NEW SINGLE- FAMILY DWELLINGS /ADDITIONS Completed building permit application (one for each structure I • Site plan • Architectural drawings- • Structural drawings:: •. Mepfianical drawings Elevations , Civil drawings Landscape; plan Completed util ty permit application Six (6) sets of civil drawings SUIMITTAL CHECKLIST Legal description ;:, Working drawings stamped by a Washington State:iicense architect ; which include: Structural calculations stamped by a Washington State licensed engineer (rack storage 8' and over):; •RESIDENTIAL REMODELS Completed building permit application ._ Assessor Account N onjber Two (2 );sets of working drawings.; which include: • Site plan Foundation pia Floor plan Roof plan Building `elevations (alt Views Buiidinu cross section Structural framing; plans NOTE If any utilty work /s to• be done pro vide utility per application . and plans'must be submitted; R EROOFS Completed buildrg.pertnit application 1 •Assessor Account Number:;. :Narrative describing existing roof; material being removed,.an material beinganstalled `'; .. • NOTE A certification letteX is required prior to final inspection and sign of of the pormit.„ i . : " Permits T .e of Review Date Routed • P ' Permit Number Approved Plan /Letter Date Issued Channelization / Striping / Signing 1 0 Site Address 53cD-D. S c FAINIIIIMMINI J G - 1 --- Curb Cut / Access / Sidewalk Fire Loop / Hydrant Flood Zone Control Hauling Land Altering Landscape Irrigation X Moving an Oversized Load {A39 (1 (q Sanitary Side Sewer Sewer Main Extension (private) Sewer Main Extension (public) Storm Drainage Water Main Extension (private) Water Main Extension (public) Water Meter (exempt) Size No. ❑ Deduct ❑ Water oNy - • - Water Meter (permanent) Size No. Water Meter (temporary) Size No. Other: Other: Date Received Plans T .e of Review Date Routed • P ' Date Plans A • • roved Date Resub. Re • uested Comment: ; 1 0 Site Address 53cD-D. S c FAINIIIIMMINI J G - 1 --- Suite No. Plan Check No. Project Name \ ; 1 0 Site Address 53cD-D. S c (7J O J G - 1 --- Suite No. ROUTING PERMITS REQUIRED City of Tuk ,a Public Works Department 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: (206) 433 -0179 UTILITY PROJECT TRACKING CHECKLIST CONDITIONS OF PERMIT ISSUANCE OR FINAL SIGN -OFF OF PROJECT PROJECT<;.< Address: 3522 So 130th, Tukwila, Wash. INFORMATION ? Name of Project: Robert E. Newman - Move -in House ......::. : :... ;; ..: Property Owner: Street Address: 14952 18th Ave SW Engineer: N/A Street Address: Contractor: D. B. S. , Inc . Street Address: King Cty Assessor Acct #: 735960- 0085 -07 Contractor's License #:DBSIN * *124N6 Exp. Date: 8/93 PERMITS: ` ' >`''': ><❑ Channelization /Striping /Signing REQUE ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) - No.: ❑ Flood Zone Control ❑ Hauling ❑ Land Altering cubic yards ❑ Landscape Irrigation Moving an Oversized Load Est. start/end times: Date: 1 Sanitary Side Sewer - No.: 4,2 SCfti.PTION. OF: €P a) Single - Family Residential :.WATER`MET FUND /BILLI N,T..... LLINGSTO.: City of Tuki' -:la Appli _ �; ( � 1 Central Permit System Engineering Division �l�� o�f� 6300 Southcenter Blvd. Suite #100 Tukwila WA 98188 Phone: (206) 433 -0179 Donald & Gayle Bowie UTILITY PERMIT APPLICATION 341 Smithers Ave So . City / State/Zip: Renton , Wn Name: Street Address: g$/ S /7W 9 ' ® Water ❑ Multiple Family Dwelling No. of Units: ❑ Commercial/Industrial Print Name: Diane Newman Name: 3 & Street Address: 27 Sewer ❑ Metro ❑ Hotel ❑ Motel ❑ Office ❑ Retail ❑ Standby ❑ New Building Square Footage: ❑ Duplex ❑ Triplex ❑ Warehouse • ❑ Manufacturing M I 'AtJ EO;US I N F.O R MA`i' King County Assessor's valuation of existing structures: $ Date: 8/13/92 Phone: 277E'2•S'7; • n , Date Application Accepted: AUG 1 4 1992 0 Sizes: ❑ 0 A W.0,42.5 0 ❑ Apartments ❑ Condominiums Date Application Expires: Phone No.: 246 -7015 City /State/Zip: Seattle,Wn 98166 Phone No.: City /State/Zip: Phone No.: 277 -1287 Sewer Main Extension ❑ Private Storm Drainage Street Use Water Main Extensbn CD Private Water Meter / Exempt: - No.: Deduct ❑ Water Only ❑ Water Meter / Permanent - No"' Water Meter/ Temporary: - No.: Estimated quantity: Schedule: Other: Phone No.:47 7-6.v-7 City /State /Zip: ,00 70n1, rNr 9eaS Phone No.: City / State/Zip: ❑ Other: ❑ Church ❑ School/College/University ❑ Hospital ❑ Other: ❑Remodel/ Square footage of original building space: 12 2 0 SF Addition Square footage of additional building space: N/A Valuation of work to be done: $ I HEREBY CER:71 Y'.Tl -IAT 1 HAVE R AD >TH1S AP PLICATION . AND: KN OW T O BE:`TRUE AND COR. RECT Applicant /Authorized / Contact Person Agent Signature:1 (print name): Robert or Diane Newman Address:341 Smithers Ave So Renton WAsh 98055 Phone: 277 -1287 2 1G 98055 ❑ Public ❑ Public Sizes' Sizes Sizes 04/22!92 I .HEREBY CERTIFY .THAT I HAVE..R . D APPLIC AN ; :ti THE.:: Af41E :TO iTRUg AND... CORRECT Applicant /Authorized �r�" Agent Signature: 4 . C ' .,,,e'� --- ,(,.• -i ge- Contact Person (print name): Robert or Diane Newman Print Name: Diane Newman Address:341 Smithers Ave So Date: 8/13/92 Phone: � ' i i ld , Renton, WAsh 98055 Phone: 277 -1287 �-- -- � •v�lrsl�r4 Date Application Accepted: AUG 1 4 1992 Date Application Expires: >PROJE < INFORMATI .. .............:...::.:..... :::REFUND /BILLIN ;:MONTH);:Y :BILLINGSTO ® Water City of Tukwila Central Permit System — Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 DESCRIPTION :OF PR0;1EO. >< ` ❑ Multiple - Family Dwelling ❑ Hotel No. of Units: ❑ Motel UTILITY PERMIT APPLICATION Site Address: 3522 So 130th, Tukwila, Wash. Name of Project: Robert E . Newman - Move -in House Property Owner: Donald & Gayle Street Address: 14952 18th Ave SW Engineer: N/A Street Address: Bowie Contractor: D . B . S . , Inc . Street Address: 341 Smithers Ave So. Name: gadder � /(J )M.q-4/ Street Address: ,3 ct/ .M ; - x a Name: , S'A .46' Street Address: ❑ Metro ❑ Standby al Single- Family Residential ❑ Duplex ❑ Apartments ❑ Triplex ❑ Condominiums Sewer Appiica', # )C[C ( ( I Phone: (206) 433 -0179 Phone No.: 246 -7015 City /State/Zip: Seattle,Wn 98166 Phone No.: City /State/Zip: Phone No.: 277 -1287 City/State/Zip: Renton , Wn 98055 King Cty Assessor Acct #: 735960-0085-07 Contractor's License #: DBS IN * *124N6 Exp. Date: 8/93 PERMITS:: ❑ Channelization /Striping /Signing REQUESTED::! ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) - No.: _ Sizes: ❑ Flood Zone Control ❑ Hauling ❑ Land Altering cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times' Date: E Sanitary Side Sewer - No.: ❑ Sewer Main Extension ❑ Private ❑ Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑Private ❑ Public ❑ Water Meter / Exempt: - No.: — Sizes' Deduct ❑ Water Only ❑ XJ Water Meter / Permanent-No • — Sizes• ❑ Water Meter / Temporary: - No.: — Sizes Estimated quantity: Schedule: ❑ Other: Phone No.:47 7 ❑ Other: City /State/Zip: ieW 704 ai /,c Phone No.: City /State/Zip: ❑ Office ❑ Retail MISCELLANEOU New Building I NFORNIATI Square Footage: King County Assessor's valuation of existing structures: ❑ Commercial/Industrial ❑ Warehouse ❑ Manufacturing ❑ Church ❑ Hospital ❑ School /College /University ❑ Other: S ❑ Remodel/ Square footage of original building space:12 2 0 SF Addition Square footage of additional building space: N/A Valuation of work to be done: $ 04/22/92 SUBMITTAL CHEa:KLiST I 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 • Identify public right -of -way and any easements • Use standard 24" x 36" sheets for all site plans CURB CUT /ACCESS /SIDEWALK / CHANNELIZATION /STRIPING /SIGNING O Dimensions O Type of surfacing - asphalt, crushed rock, etc.(and thickness) O Percent of slope and runoff direction O Size of curb cuts / locations O Vehicular and pedestrian traffic facilities, including signing and striping, wheel chair ramps, curb cuts O 20' of paving on all gravel driveways connecting to paved roads FIRE LOOP /HYDRANT O Type of pipe 1 hydrant O Size of pipe /location O Location and type of all valves O Type of bedding and backfill material I percent compaction O Distance from structures, storm and sewer facilities 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, CUT AND FILL) O Contour map (2' intervals) showing existing and proposed contours O Estimate of yardage, both cut and fill O Erosion control plan with temporary and permanent measures HAULING O Quantities of materials to be hauled to and/or from site 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 and meter box 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 material / 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 O Dimensions (L X W X H) of overall load SANITARY SIDE SEWER 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 existing system 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 existing system O Location of cleanouts and manholes O Type of bedding and backfill material /percent compaction STORM DRAINAGE (include existing topography and proposed grading and surfacing) O Type of pipe — concrete, ADS, etc. O Size of pipe / location O Percent of slope on pipe / length of run O Location of all structures O Square footage of area to be drained, including roof area O Type of bedding and backfill material / percent compaction 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 dales) WATER MAIN EXTENSION O Type of pipe — copper, PVC, etc. O Size of pipe / location O Hydrant types and locations O Valve types and locations O Connection point(s) to existing system O Type of connection - live tap, tee, etc. O Location and size of thrust blocking O Size and location of mains, including elevations (profile) WATER METER - EXEMPT O Diagram of domestic system /tie In of exempt meter O Number /account for existing domestic meter O Size and type of material of meter, service and meter box 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 and meter box 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 e • er t u • is "or s ' apartment as comp ate • t e r review a • e • ans are. approve •, t e app icant wi nodfied by letter concerning the necessary permits and requirements; an approved set of plans will accompany the letter. Ii the plans are not approved, the applicant will be notified by letter of necessary resubmittal requirements. ** kh*** kk* kkh kkk************ kk ***k *k** ****** CITY OF TUKWILA, WA TRAN9.M1.T kk* k****** k* k****** A•k krl• k*** kkk* k• kk* ** * * * ***h*h7lr**** *kkkkkkkk * **k TRANSMIT Number: 92001020 Amount: 4,950.00 09/22/92 16:10. Permit No B92.0268 Type :. R -RELOC RELOCATION PEdt f /92 Parcel Not 735960 -0085 Site Address: 3522 .a 130 SST Payment Method: CHECK Notation: NEWMAN, DIANE Init.: DLM * * ** *** * * * ** * * * ** ***** k* h****** * ** * * ** * **k * *'A ** * *k**kk *kh** Account Code 000 /38.908 Total Fees: Total All Payments: Balance: Description BUILDING BOND /DEPOSIT Total (This Payment): 5,143.00 5,048'.50 94.50 a Paid' 4,950.00 4,950.00 GENERA 4950.00 TOTAL 4950.00 CHECK 4950.00. CHANGE 0.00 3614A000 09.08 i�q�+.n-rn{ `t+eiv""t�:w�n:1 ..'.!ntn, Tb•Me•f`.,"7t"',r,. .�•S.wa.. k***************** ***********************+*************.***** CITY OF TUKWILA WA - (11„ TRANSMIT h *** *:5•** ****** * ** * ***** ** ** *k - �9FF *? ** *fir *'#•k• ** *•k * ***k** **** * *k*** TRANSMIT Number: 92001344 Amount: 25.00 11/19/92 15 :22 Permit No: PW92-0248 Type; PW -MOL MOVING AN OVER MN . Parcel No: 735960 -00£35 Site Address: 3522 5 130 ST Location: HOUSE WILL BE LOCATED AT APPROX. CENTER OF LOT Payment Method: CHECK Notation: REDMOND MOVERS Init: SLB * * *•k *fir *** * *•k *•k** * *•k * ** * * * ** . k ** *•k* •fry * * * * **** * * * * * * ** *fir ** * *• ** ** ** Account Code Description Paid 000/345.830 PLAN CHECK - UTILITY 10.00 000/342.400 INSP FEE - UTILITY 15.00 Total (This. Payment): 25.00 Total Fees: Total All Payments: Balance: 25.00 25.00 .0 GENERA GENERA TOTAL CHECK CHANGE 5449A000 10.00 15.00 25.00 25.00 0.00 16 :02 I Total Feem: Total All Payments: Balance: 5, 143.00 5,143.00 .00 . **********+4********+++******+***** CITY OF TUKWILA, WA . TRANSMIT a** � ***,=****°^==^**********+*w4!*****+*******+*******+*********+* TRANSMIT Number: 92001021 ' /w*mwm�| mum�arx���0AI0�l AmoUnt:i 94^50 O9/22/ 1 permit No: 092_0268 `Type: B-RELOC RELOCATION P '� Parcel � P No: '735960-0085 ' ` 8ite Address: 3522 S 130 ST Payment Payment Methodu CHECK Notation: NEWNMN D% Init^ �LyY , **��*�w�**++****+�*++��*�*���**�*�**�*+*�* � *�� � +*+|+***�*�*** � �� - - �-'' ' ~~�^� ^".. �~�" ***��*�w�**++****+�*++��*�*���**�*�**�*+*�* Account Code Description 800/322.100 BUILDING - RES ' 000/3W6.904 STATE BUILDING SURCHARGE Total (This Payment): Paid 90.00 4.50 94.50 GENERA TOTAL CHECK CHANGE 3615A000 � r* ~,•,- .~- 94.50 94"50 94.50 0.00 09:09 Total Fees: Total All Payments;: Balance: 40.00 40.00 .00 *7h*** ktik*• R**rkh ******r4********iFh•1 ** ***** **** ** ****** *k * ***k* *** CITY OF. TUKWIL.A, WA TRANSMIT ***** vk ** * *k *•k * * * *) *kkkk ** *** * *** ark * * #* **** *** ** * * *h•k*** ** * *k ** TRANSMIT Number: 92000754 Amount: 40.00 07/27/0r2M252 Permit No B92 -02E8 .Type: B -RELOC RELOCATION PERMIT Parcel Not 735960.-00815 Site Address: 3522 8 130 ST: Payment Method: CHECK Notation: NEWMAN,ROBERT Init: DLM ********.** Jk**#**. it**#**** k********* ** *k * * * * * * *** *•k * * * * * * * ***k * ** Account Code Description Paid 000/322.100 BUILDING - RES 40.00 Total (This Payment): 40.00 GENERA 40.00 TOTAL 40.00 CHECK 40.00 CHANGE 0.00 1849A000 15 :17 ` **************+**+********^**+***************+*****+******A****k CITY OF TUKWILA, WA TRANSMIT +****+**+****************k************+************************+ TRANSMIT Number: 92000844 Amount: 58.50 08/14/92 15:01 Permit Nn: B92_0268 Type: B-RELOC RELOCATION P —Parcel N� �73596O~O0Q5 ' � ~''~- .QiteAddrmoy: 3 5 2 2 p . 0 0 ST • Payment Method: CHECK' Notation: NEWMAN ROBERT Init: DLM ***+*+*w*********+**+*******a******************+****,4******+**** ` Account Code 'O001345.830 Total Fees: Total All Payments: Balance: ` ` ! Description PLAN CHECK ~ RES • Total (This Payment): 193.00 98.50 94.50 Paid 58.50 58.50 GENERA TOTAL CHECK CHANGE 2527A000 58.50 58.50 58.50 0.00 Sep 22, 1992 NEWMAN, ROBERT 341 SMITHERS AV S RENTON WA RE:' Proposed house moye4o3522 S 130 Dear NEWMAN, ROBERT': The items listed below will be required repairs . that need to be taken care of prior to/OOCupency.- , 1 Any broken glass replaced with thermal-pane glass per current code. 2 Replace rotten wood or'...infested. a'reas. 3. IJ- - : , , f Instqatender:Floor(R719 not 4. InOall smo,ke,detectors ver,U.B-. W4 , 5. AttO space to be venteer A. B. C. D. E. Ob thilt) oermIts ' ' • 111.44tri2 P1400,itig'Permit- Uti:Oty PermitCS),( Mechcal Permit 1. 8p55 BOldg,:l (Foupdation for:-Rejocation) over basement. • Electrical Permit Staee'Oepartment:bf Labor and 2) ng CountOlealth (296-47 oving an Oversized Load)7 ; No'cKangetWill be made to the plans unless approVed by the Tukwil*Building Division. 2. Plumbing permit shall_be, through the Seattle-King County DeWtment of PbbANHeal Plumbing will be inspected b041at agericA,)114016d4hg all4a*:,Oping (296-4722). 3 Electrical permit-sb011AM6t!qpei'Ahrough the Washington State Division of Labiir and all electrical work will be inspected by that agency (248-6657). 4. All mechanical work shall be under separate permit through the City of Tukwila. 5. All permits, inspection records, and approved plans shall be maintained available at the job site prior to the start of any construction. These documents are to be maintained available until final inspection approval is granted. 6. Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identi- fication showing the fire performance rating thereof. 7. All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1991 Edition) as amended by the Washington State Building Code, Uniform Mechanical Code (1991 Edition), and Washington State Pnarnw rnda (11401 qmr.nnei Felitinn) � j placing any concrete. This procedure is in addition to any - , requirement o;F special inspection. 9. Removal of. )t'ic tanks require ap'prov jand compliance with permit and inspection requirements through the Seattle - King County Department of Public Health (296-4722). 10. There shall be no occupancy of the building(s) until the final inspection has been completed by the Tukwila Building Inspector. 11. Contact the Public Works Division to obtain inspections of the water and sewer tie -offs prior to cover (433-0179). 12. Validity of Permit. The issuance of a permit or approval of plans, specifications and computations shall not be con- strued to be a permit for, or an approval of, any violation of any of the provisi.onsofi this ; code or of any other ordinance of the Jurisdiction'. `tyb perm;lt presuming to give authority or *vio or cancel the provisions of this code shall be valid' demolition pe t,'C,i's 1 equir�e`d to remove existing building from site : s z : {, x ���'f�'e hd ma`iie ancl - worka urrder ,pe' )2,0268 ma'y until, final Inspection is. complete 'the d`emol it'ion. permit. L ", 7 1 NOTE: U.Ef=V Uniform .Code `'1'988 Edition: Sincerel F' ' t Jl� CITY OF TUKWILA Address: 3522 S 130 ST Permit No: 892-0268 Tenant: NEWMAN, ROBERT Status: ISSUED Type: B-RELOC Applied: 07/27/1992 Parcel #: 735960-0085 Issued: 09/22/1992 *************************************************************************k* Permit Conditions: 1. No changes will be made to the plans unless approved by the Tukwila Building Division. 2. Plumbing permit shall be obta4heAthough the Seattle-King County Department of P,441 will be inspected by that egfniy4 ail-4011vpg (296-4722). 3. Electrical per*Witialltie,'Ot*ineC.ithrough the Washington State Divist0•f La0r4i*Iiidusies,ancf,ellele4rAcal work will t(Ofispeptict„Oi that egenpy:(248W7), 4. All mechanical through the Cityot TpW*,la j 5. All per)j19ts,''ApectACii shali maintained eivaitable at the, .fob site prior to the start of any pOis Thesectimentse to be maintained avai*Oeueltil final:tfi'SpecOion,,ipproval is granted: 6. Anyi0posedtns4lationbacktOO'iaterial shall have . a Flame Spread of 25 OrTless,land material shall bear„ident ficgOon'sh6WAng the fire pei thereof.' r 7. All•eonstructton to be done In IconfOrMancelth apprOyect plan's; and req410mentS-•of the. Unif6rm1B4ildtng Code (1991. , EdItTon4 the.Washing.ton cade; Uniform MOhanicerCode State Enegr Code (1991 .:Second „..., • 8. No90 the 'city of plapAgoncrete. This proce*re„fis/An-eAditioWtdkany req4k:enverits,f0! special inspectfonVn- 9. Removal of *`epttc tanks require OprCVal'andtplience • with*rmWand inspection requi0mentstWrbugh the Seattle King county Department of Fubliclealth 10. There shall be no occupancy of the buflOnanti_lthe final i`ns:Octioithas been completed by the TukwiWBUild,t0g*:' Inspecto 11. Contact theroubiiorks DOtaton:toAibtain inspiC'tionf 5 , the water an'A'Sewer tie-offs ,prior to cover (433-0179/ 12. Validity of 0*MI , t,.. The is4anWiifpermit or approval of plans, speclflcatlons computations lehall not be to be a petai-niTtjp,r, or an dopro\;aof;4Wviolation ofany of the provist66SOh4P: other ordinance of the jurisdlc No to give authority or violate or cancel the provisions of this code shall be valid. 13. A demolition permit is required to remove existing building from site. The house move and work under permit B92-0268'may not proceed until final inspection is complete for the demolition permit. 'roject: 4 . i... yPe o ns • : . �.�`'pa� ress: 3 52,2_ 45 Aro Special Instructions: Date anted: 4- y am. ,m. Requester: Phone No.: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 V.LApproved per applicable codes. COMMENTS: INSPECTION RECORD ¶ 7 . Retain a copy with permit 0260 PERMIT NO. ❑ Corrections required prior to approval. Inspector: Date: ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. r Hemp! No.: Dale: COMMENTS: • . 0 C (.-- c MC.- /nJS“ -hrt -d , i A,11,-S U 0 t V S i Lai c-11-.5 �A, PPvs' - 2' d.c • Air./ f s ovl.- n.ca1Mpi't sS�`19 r N pLACc-5. Z) / NISr...(..4'T\ W `Yt -- :, p I , P-5 r ► J C.' t „,L. 5P;4tG % , : .. 39 C L .) ou4-- c -wc. Se Ac A 'JO : r 1.3. . ° A' ni1N1lr1. '{ mIL. VA) '0iL thf L (:I Ev ;• .., ¢ (4c t N5w rtot-) A w f Fou N oA-ncr. vl"WSS- 3 1 NS 'l.L C.. ∎.46 L 0 r' G N L 1S , E -• 3A: Po (t-cAN e oSTS °ro e t — ekacle-S - '� 6 P tii t5iPri+ PA-pi D u a" .. TrAti Feet) ci..st, , '1, 1 IDEA g t paw a i)2 Pic.° icv*N P v,.0 2,1 3a" PriS1c_. Cc • I uSuLA - "Mt - 1 A c �:'SS H /r rc .\ A ry O Prtov.OE C: /tSK€T S i_ , Date Wanted: 'p jed: ype o nspection: i t _ a... P Address cot ,__ Date Called: 8. , / i Special Instructions: C7` (O 6.44,-- Date Wanted: �' , / Z , 93 am. .m. Requester: 9 Phone No.: 7 7- 42a 7 INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. orrections required prior to approval. (inspector: L1L Date: 5Vj /f c)Z c 2 PERM N0. (206) 431 -3670 ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection. o,: e: •roect: Q oman R abeo . ypeo nspedan: p 1-- - ;nao Address :3c) 5 130 5_1 Special Instructions: P W CU - v` 1 4 % in 0 L. Dale Wanted: am p.m. Requester: Phone No.: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit Ela- PERMIT N0. / (206) 431-3670 O Approved per applicable codes. ❑ Corrections required prior to . approval. COMMENTS: ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ecept COMMENTS: • ' o nspectiorr f .. Addre,�s l prop VewryL, - 1,43NI oP ∎ 0 6 s TO 1 icy /, 65 / Z PrD9 w11-6t AN49 7.GKIN = Nv.+ On) A-wGt4dx... FL:Ts. 9 prop Wir1.4 STth o.S w L. t=�t.<'' krt i s J-. G . Spedal Instructions: 4 - ) POST A ► 2 . q . i407 Pr i L A P r ' / 1 - o (A- / 4,4-0 s . n eel— P'� - (D tf �, ' -13A t 1 ,1011 tF 6 g.. ittA. f4 - i... Po -" / --� Requester: A 0-E n vr S Fr N,c.r Tb 6vm -nS. phone No.: c p, 7 7 --/W"7 .5) 06174-f rJ rne A-z1 IC, ... A 140 C i - Pi Ps ,JG1 & • ro M Aid- PMJ -- o nspectiorr Addre,�s Data Called: _ _ . S, 1.30 �.. --� t ' Spedal Instructions: Date Wanted: CO - i' D - m. .m . Requester: phone No.: c p, 7 7 --/W"7 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. Corrections required prior to approval. 0 INSPECTION RECORD 0 Retain a copy with permit (206) 431 -3670 Dater „/ 0 _ 93 PERMIT NO ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Project: , . . ! A ,M ...reN.• .... — 1. A A 111 I a t ype ii._i spectto 4 n si : it 1 o , ii op. Sp: •M Instruct ons: Date Wanted: I i 1 * el' ' Requester: 7 b pk.No L,(15 *L. COMMENTS: Inspector: Approved per applicable codes. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 o A444.11-1 efia-op.bg Date: / PERMIT NO. (206) 4314670 0 Corrections required prior to approval. o $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. r itr i cept No,: Date: Project: / l ii.✓ /t� K type of Inspection: ' o ��2'�`' Address: Date Called: Special Instructions: h ....e14-te_ / / / ,' o p Date Wanted: 7---- 4-97 m p.m. Requester: , P No.: INSPECTION RECORD Retain a copy with permit NS • ECTIO NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT (206) 431 -3,¢70 COMMENTS: ` Approved per applicable codes. eceipt No.: O Corrections required prior to approval. O $30.00 REINSPECTIO T FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1747- 1 - 7M/0 i' Type o ns Address: , 2 /63 ;, Date Called: 1 a— _ Special Instructions: IA , -d�a. () Date Wanted: — ' Gj a - am. p.m.,, Requester: `7_, 11 a .- ? ' PhoneNo.: 7 i ci g ( Hecet No.: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. COMMENTS: Vo-/- INSPECTION RECORD Retain a copy with permit !late: (206) 431 -3670 Corrections required prior to approval. In specia: 1� / ifiJ..� Date: f v y ❑ $30.00 REINSPECTIOP FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'ro ect: l � - e �.y ►p ct n y?, - r- Type o nspe l��OV� , Address ?) ( 2? 5 Date Called: / c-) Special Instructions: ,, // �l eci` a e O and, n 1 7 r—v-) � 2 ( Law. cto ,n 0 GL.thedi •l � c.co,r,,cc�� Date Wanted: 7�0 q� a p.m. R equester: Q mQ. ,1 4 ,,. & Phone No.: , Q 9,7 r ��c? 1 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 O Approved per applica' lMes- Corrections required prior to approval. COMMENTS: nspector: gliMM111111111111111111111111/111 R ?✓ ED $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300. Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: INSPECTION RECORD Retain a copy with permit Date: oa& PERMR NO. (206) 431 -3670 COMMENTS : GA'L(,1 eta-14 66 9P 7131.J9 Nom-- -. *1 cb LLI.A9 Acc.L ' Tlfis t= dw0}9.cFr.atJ Fa 9-- i c ',Di AG few tJ l r A LSTV cccx14441'7.... 6T1G r NEw t— t INse A 04 Pi t n— A,.S t.,NA9. . ' (1-i R ev Nom- Tbkiti WEE t1 OS NI c-- j' o. ISLE' Pt rt.� -� ,non 1 Ar/.0 ,41.3-6 /114-( t. P1S 1 c4 c,tc..S .,5 ter tP-4 Imo- t 1 G So n A#.19 S" Wl�r�. iT / S ,DO LA, eirCtxL T1R AT .m. p L V LR TS v%) \ t t.. Cr. fi$ tztvv(. -i 1W 1 ,tv L Ay e DAI S co mss i.) ,2. Ph No l one Project: *"x t42' • Type t Insp actio M ,� i Address: 3s� 1 b Date Cal ` �- Q t. - 3- Special Instructions: ct LE_ r Opri .1 -0 E(,)_, G- 14 - - LoticL c 1 -% 2..al. +i koo k,t r, ,...r, Su ,c t`cA. c, c 1 IASt nl 4 12.4...10 t,,.ti�.t CJ's lAG'K [Dc. i'1c c e. S9. + P Date Wanted: 1-- a D- ��a .m. Requester: 1 I t_ -• 1`��t �t" j 1'� Ph No l one SPE • e. u fz H CITY 0 TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. ❑ Corrections required prior to approval. l Date : - 9-e__. ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at � 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I Receipt No.: Inspector: INSPECTION RECORD Retain a copy with permit Date: (206) 431 -3670 J umt r` rrix " 7 """ 1 " 117 n - V P '' ,7 TAz•" 4 7, v irkg'Prti'vaNikAW;lie1044,Likl'acik444:kit , \IOLA 4 City of Tukwila 190 FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188-7661 (206) 575-4404 --a ."-) 1 Project Name A/67itlAlfrfv k 0 'r L-i Address '- / o 7H Retain current inspection schedule Needs shift inspection Sprinklers: ( Fire Alarm: Hood & Duct: /\/ Halon: Monitor: A / Pre-Fire: Permits: TUKWILA FIRE DEPARTMENT FINAL APPROVAL FORM V Approved without correction notice Approved with correction notice issued J—Lekci 5 12 by/0/9 Authorized Signature Date Gary L. VanDusen, Mayor FINALAPP.FRM T.F.D. Form F.P. 85 /Control No3 0 -26 6 Permit No. Suite # 411111■11111111111111111ON■ Fire Department Review Control #B92 -0268 (512) Re: Newman, Robert - 3522 South 130th Street Dear Sir: Cit y o f Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 John W. Rants, Mayor September 9, 1992 The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. An approved automatic fire sprinkler extinguishing system is required for this project. (City Ordinance #1528) All sprinkler system plans, calculations and the contractors Materials and Test Certificates submitted to The Tukwila Fire Prevention Bureau must be stamped with the appropriate level of competency seal. (WAC 212 -80) Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. Yours truly, The Tu wila Fire Prevention Bureau cc: T.F.D. file ncd BUILDING PERMIT # B92 -0268 BUILDING DIVISION NOTES THE FOLLOWING CONDITIONS ARE APPLICABLE TO THE PROPOSED FOUNDATION DETAIL. ANY CHANGE IN THE DETAIL OR CONDITION TO THE FOUNDATION PLAN (AS NOTED) SHALL BE SUBMITTED FOR REVIEW AND APPROVAL PRIOR TO BEGINNING THE WORK. 1. Foundation wall(s) 6 to 8 feet high as measured from top of footing to top of wall shall be reinforced with #4 reinforcing bars spaced at 12 ".o /c horizontally and vertically. Footing shall be reinforced with 2- #4 reinforcing bars continuous. Foundation wall(s) 4 to 6 feet high as measured from top of footing to top of wall shall be reinforced with #4 reinforcing bars spaced at 18" o/c horizontally and vertically Footing shall be reinforced with 2- #4 reinforcing bars continuous. Foundation walls to 4 feet high as measured from top of footing to top of wall shall be reinforced with #4 vertical bars spaced 4 feet o/c and #4 horizontal bars spaced 2 feet o /c. 2. Provide a new treated wood, sill plate for anchoring the floor joists to new foundation. Foundation plates shall be bolted to the foundation wall with not less than 1/2 inch nominal diameter steel bolts embedded at least 7 inches into the concrete and spaced not more than 6 feet apart. Theere shall be a minimum of two bolts per piece with one bolt located within 12 inches of each end of each piece. A properly sized nut and washer shall be tightened on each bolt to the plate. 3. Install minimum R =19 thermal insulation at existing floor joist, over crawl space. Insulation shall be installed in a permanent manner in substantial contact with the surface being insulated. Insulation supports shall be installed so spacing is no more than twenty -four inches on center. 4. All wood frame walls constructed to provide enclosure of crawl space area shall be framed and braced as required for an additional story. Note all walls .> 14 inches. CITY OF TUKWILA APPROVED SEP.:'21 Yt +,II +. ,DING D ISION Mr. Robert Newman Permit # B92 -0268 Building Division Notes Page 2 • 5. Provide crawl space ventilation in accordance with U.B.C. Sec. 2516 (c) 6. Net area shall be not less than 1 square foot for each 150 square foot of under floor area. 6. Provide crawl space access opening in accordance with U.B.C. Sec. 2516 (c) 2. Minimum 18 inch by 24 inch. 7. Existing Floor joists shall be attached to new foundation sill plate with minimum 3 -8D toenail or an approved framing anchor shall be installed at each joist. ..U.B.C. Table No. 25 -Q. 8. Any widows that are to be completely replaced shall have minimum double pane insulating glass. 9. Provide a smoke detector at hallway leading to sleeping CITY OF TUKWILA "P ROVED s E p 192' G DIVISION MEMORANDUM TO: G-,t 2 eiC\2 - FROM: i DATE:25 /CJZ SUBJECT: (3 _ I S, .. •gyp„ , _ 0 0 Z. 9 :06 4/14 Catel-e4 lecr6OZIEWIWata44 Alt,/41,44/atit e7Var-Oae4.- )(Crt )te ; , Cam. -need adeitrze;tel-P/e441e,t44 0,14 DATE ADDRESS ARCHITECT OR ENGINEER CITY OF TUKWILA 6300 SOUTHCENTER BOULEVARD TUKWILA, WA 98188 * REVISION SUB ITTAL . * t V I / r / V S c • SUBMI'1'1'ED TO: e 4 PROJECT NAME 4477 . 4).0 c_ci % )41 *r1 CONTACT PERSON 4 obi .-2- t»/-4, PHONE 9- - 7 - 7./p_ e 7 PLAN CHECK/PERMIT NUMBER 2 C D (;' ' y 92 ^ v a (, 9 TYPE OF REVISION: g j 14).2 / % fl iz 4_4 SHEET NUMBER(S) "Cloud" or highlight all areas of revisions and date revisions. RECEIVED SEP 0 21992 COMMUNITY DEVELOPMENT DATE CITY OF TUKWILA 6300 SOUTHCENTER BOULEVARD TUKWILA, WA 98188 * * REVISION SUBMITTAL * * - RLLsust ictaa PROJECT NAME SUBM11'1 ED TO: F3 • O b R b.era-- ADDRESS 35 c� a � I RECEIVED CITY OF TUKWILA AUG 2 1 1992 PERMIT CENTER CONTACT PERSON RcYo -e. O Y 1 ar PHONE a I a . s1 ARCHITECT OR ENGINEER PERMIT NUMBER (If previously issued) PLAN CHECK NUMBER S q a 0 a()'S TYPE OF REVISION: 1 0 CX \ -eQ U 1-Z C1 O`� ion cX ak t 1 p e..0 our '( . SHEET NUMBER(S) "Cloud" or highlight all areas of revisions and date revisions. Mot : P,l/,fW pX*414 - 44421 P 2c. .P Ae(4, /pry 4 !2 "'rd. eat ,t, 4c -04.1 - calte,r a /0:30 4m 4 two eva 4t a'" aageC- a l i e h t e 4 4 4 - 9 Q . - a : / euyeAtalaVot AV SW 6T„ Nod 1 0 pERMlY • Sec Map 39 do and Driavt.e 10503 268tH Ct4. )5 C autLLt m , Ma 98014 206) 788 -3485 V 46' $ NTH AV ■ sth ism As S 1 /1 5 19... 40 (L ` (1 -5? r - "`.'" -°1-45"1 Ca ` ,. ; 4' C. o a6/ L /7 F /d't'4 l6 6 0 • 14/M. .r. I ,3o ri; ; r 7, 11) / 4-11 ",7i i c.,:., 4242 i d 11_ SE WA --- XcA i44 T /d/yi //1/ "Si GL.EY .S>V /4/671/C'PDi/p7" /LJ �%VStih °E x�S /}/SCE S'S"N /Z Y yd 4/4/ s5�L7 /Nl.�iv7 k" /x •r - iw r L9'2/4iyaO ,64p APPROVED PER PUBLIC WORKS DATED -ile I 5 -,5.5 Yrl is /,, 1 f r ' / t. 5 f dL O J? gH t 5,'n//,f -,7,1 Lt,r / - 7 ) ci r e, V. I understand that the Plan Check approvals are 3ublect to errors and omissions and approval of plans does not authorize the violation of any . adopted code or ordinance. Recn.t.of coritricar copy of approved plans acknowledged. By 44/44 Permit No 1.43: a L / / eifloi - 14 A /1 eft)t I v / 7 a_ FILE COP LAwi'l tv, 4_ ; 1.) tA4 P'N/14.4. "ILD ( 2//4 ••• 1- CENEO C S, /0 - - l1 - h.51 /go,-fr (r77 CITY 0,g Ni144 'APPROVED c 1992 GI III !SION frt y droth-6- Borrower /Client Robert E. Newman Property Address 3522 So 130th St City Tukwila County King state Wash. Zip Code Lender Interwest Savings Bank r rW - 71A .... G}JDS ©F 100 &I2AEG=S T1 'AK coive4ETE 044.1..6 CC6 '`�f1e41.4 Fo24r/ /AstO W/ �Z ",rl /2 S/.kksG ON j /G7- =s 4.M7 W '5, //N6555 Maw?) is usEO, "�7?rols t=it? tv 4. 3" of e.t.a) P tZ.1t -ict. fvtL 6tiaPER (DR) D ©N R rE z s't1 (c) // ; y 0' 7t� Le busy/.A'FEt To P- A1.Tt ct St:›ACe. MAM $� I N5t)LA EP. Art of tA4 . Gk'4W4 WAGE c) / vigepe4Rofv, paz, /6 6,F sthDP.12Fizof. �alz k- , . SKETCH ADDENDUM /6 • ki -.s/ 1 ' /`/ . .. I it ,0 ,' w 1 tl1 '...:. 00. 6 /g C11:- NAlL Mtla.LS wtgr1 .. J' P % G 1 ED4Es y 12"A Chi /Nrre- 2MGD14jE «> . • r &PPO RtS. E xA14c -PA a sr 48 • 1: 'RECEIVED :SEP 0 2.1992 " '" COMMUNITY DEVELOPMENT r S, ; j - b �, r'i 1DE Fostrt0e Cou44ecrto A Fr DT3 t'C, Apia AT eig.ofsg . TtiFtc ( CITY OF.tilOVILA APPROVED 19 ■ Y1 g Or Jo °.SCI MINIML .q- Qu ARe GthdG SON .. J'bp�I`'ih • u)o Robert E. Newman 341 Smithers Avenue Renton, WA 98055 1 0 E -_- /0' �---. JOB SHEET NO OF CALCULATED BY DATE CHECKED BY /j DATE 4 SCALE N / . \Lt -re-g- P 00 00 6 "Fgeotve t Ac \l/ �+:..,... l O . . A CITY OF TUKWILA APPROVED i ; Z9C II DI G DIVISION RECF.IVED crr OF TUKWILA 1U6141 . ' , • 1 <t3rn1 •56c9v2..Jots`5 13e-Oct blurs 1# 2. ---- -. — I 1 W41 P �.� ' 1--1 �a. , o.G TT/° i e o d 0-yo 3.1S-g- s o; /& T'-r h N.) u>) i�=,, . L / a g ce - oath , CITY OF TUKWILA APPROVED -tEP 1992 / or eelk I' DIN .1 DIVISION s6EE '3 uDG VW. Worn:, (c4ax o E) 12:7?. 8/206 731 7 l3 0 - tre v Tod' ;11 ki N4. Aire : CA .45 5 /D41 64-47-#. m rottftw i"eatwo coo e.2.1266)theso AT. cROUx. SPtACf.. RECEIVED CITY OF TUKWILA AUG 21192 PERMIT CENTER ' . • 4 .1 . r:V.41 . . . • • t 'WI. ear". . 4 '4 • .44 •4* ""' • 14 • , • I • s "' 11441 A •• 4 .. S It• or • • • 4 . ••41,411'..7.44111r 04.6?g ROSE HILL INSURANCE TEL:206- 822 -0372 Sep 22,92 12:50 No.004 P.01 TRUCK INSURANCE EXCHAIE 4$Btt Wilshire Boulevard Loa Arles, Cal ,,,snip 00010 INTERIM CERTIFICATE AS TO EVIDENCE OF INSURANCE THIS IS NOT AN INSURANCE POLICY, THIS 1S ONLYA VERIFICATION OF INSURANCE. IT DOES NOT IN ANY WAY MEWL EXTEND OR ALTER THE COVERAGE PROVIDED BY THE POLICIES LISTED BELOW: Named • D E S I N C mewed • 341 SMI'HERS AVE SO Address • RENTON, WA 98055 We certify that policies for the above named insured are In force as follows: --- Policy No. - Work Comp. This Interim Certificate As to Evidence of Insurance shall expire sixty days from M SEPT 22 , 19_92, unless cancelled prior to such date by written notice to tho named Insure COMMERCIAL GENERAL LIABILTY .'.VERAC3E LIMITS OF INSURANCE COVERED NOT COVERED ® ❑ Premises/Operations . • ® ❑ Products/Completed Mans Ill JTO LIABILITY COVERAGE – IXED ❑ NOT COVERED Owned Q ❑ Hired d ❑ Non.Owned ❑ ❑ Employer's Non - Ownership Contingent Uability Single Limit LlapliiIY for Coverages checked DO above L� ❑ Cargo OWNED AUTO IF COVED ❑ tr Mr YEA MAKE TYPE OP eoov LOAD CAPACITY WORKERS' COMPENSATION COVERED NOT COVERED fJ 0 STATUTORY UMBRELLA LIABILITY UMeftLltA tinaILITY Policy Number R we cancel this Certificate before the expiration date we will malt 3Q Certificate issued to: Name , CITY OP TCTKWILA And . 6300 SOUTHCENTER BLVD Add , TUKWILA, WA 98188 Countersigned , se.onno ter turftON 4•wc fon wI)ao Ohre Date -I BODILY INJURY OR PROPERTY DAMAGE Each Oocurrence $ General Aggregate Limit (Other Than Products - Completed Options) $ Products Completed Operations Aggregate Limit Personal ii; Advertising Injury Body Ini1KY MIRAGE: LIMITS fl 79-i3771 60060 -41 -71 Agent Policy No. • bon Liab. Pricy Na • Cargo Poky Na - Acda LAU $ 500,000 500,000 500,000 500,000 LIMITS OF INSURANCE ,000 each Person $ ,000 each Accident Property Damage S ,000 each Accident , OOD each Accident .000 each Vehicle ,000 each Occurrence EMPLOYER BODILY INJURY BY ACCIDENT $ — each Acclde LIAIIIUIY BODILY INJURY BY ACCIDENT $ each Employ INSURANCE BODILY INJURY BY ACCIDENT $ Policy Limit 000 retained limit each occurrence days written notice to the other Interest shown bele YAM MAW LAST 01611 SRO% ACOI D CERTIFICk OF INSURANCE PRODUCER INSURED Dave Pizur & Associates, Ltd. 18000 Sarah Lane, Suite 120 Brookfield, WI 53045 (414) 792 -1100 GENERAL LIABILITY }( COMMERCIAL GENERAL LIABILITY . CLAIMS MADE X 'OCCUR.; • OWNER'S & CONTRACTOR'S PROT. ' AUTOMOBILE LIABILITY • X ANY AUTO A ' ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS yt NON•OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY OTHER Redmond Movers, Inc. 10503 268th Avenue N.E. Carnation, WA 98014 UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS City of Tukwila is named as additional insured CERTIFICATE HOLDER City of Tukwila 6300 Southcenter Blvd. Tukwila, WA 98188 Atten: John A. Pierog Public Works Dept. ACORD 25 +S (7/90)' 660 712J0040 660 712J0040 ISSUE DATE (MM /DD /YY) 11 -1 -92 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. COMPANY A LETTER COMPANY B LETTER COMPANY `. LETTER COMPANY D LETTER COMPANY E LETTER AUTHORIZED REPRES h-- �q - .93 COMPANIES AFFORDING COVERAGE . Travelers Insurance Co. 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR ' DATE (MM /DD /YY) DATE (MM /DD /YY) EACH OCCURRENCE COMBINED SINGLE LIMIT 11/12/92 11/12/93 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE RECEIVED NOV - 41992 TUKWiLA 41 :1Ei.Lt WORKS LIMITS • GENERAL AGGREGATE 'S 1,000,000 11/12/92 11/12/93 , PRODUCTS•COMP/OPAGG_ $ 1,000,000 PERSONAL & ADV. INJURY $ 1,000,000 S 1,000,000 FIRE DAMAGE (Any one lire) S 50,000 MED. EXPENSE (Any one person) S 5,000 S S EACH OCCURRENCE S AGGREGATE S S • STATUTORY LIMITS EACH ACCIDENT S DISEASE — POLICY LIMIT S DISEASE —EACH EMPLOYEE $ • ,000,000 CANCELLATION' • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINp.. OtII i- E COMPANY, ITS AGENTS OR REPRESENTATIVES. ©ACORD CORPORATION 1.9901 ..i0 {rCi {..bi.r.{iaGO prvvaa zne epartment of Health and ' uilding & Land Developmen t ith information necessary to valuate development proposals. number ❑ Building Permit ❑ Short Subdivision PP L ICANT' S NAME -R OA6 2 7" %)& ROPOSED USE ACAT ION so • 3o name 450 Administration Building Seattle, Washington 98104 206.344.7900 KING COUNTY CERTIFICATE OF SEWER AVAILABILITY no wri e n as ox ❑ Preliminary Plat or PUD ❑ Rezone or other Please'" 9turn to: BUILDIN•■ LAND DEVELOPMENT ,t4 ) /Jo s E �,cJ � / / (Attach map & legal description if necessary) h # # # # # # # # # # # # # # # SEWER AGENCY INFORMATION 1. a. ® Sewer service will be provided by side sewer connection only to an existing size sewer 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: ® (1). ( PO D _ feet of sewer 4trelitnic or latteral to reach the site; and /or ❑ (2) the construction of a collection system on the site and /or ❑ (3) other (describe) 2. (Must be completed if 1.b above is checked) 4. The sewer system improvement is in conformance with a County approved sewer comprehensive plan. OR b. 0 The sewer system improvement will require a sewer comprehensive plan amendment. 3. a. N 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. Q Annexation or BRB approval will be necessary to provide service.. 4. Service is subject to the following: a. Connection charge: To R� 'Pato'P�on io c��u�c�Ci► I8.`1. b. Easement(s).: F279 VAL VUE SEWER DISTRICT Agency Name MANAGER Title AMP c. Other: >lmJc.=,n.- ' , a1 - p uw� [AOC 4Wom 37 '= ` Atle. S I hereby certify that the above sewer agency information is true. ThiaiECEIVED certification shall be valid for one year from date of signature. CITY OF TUKWILA T. J. MATELICH AUG 1 4 1992. atern-,Nama 1 2_ s gnaeure Date LEGAL DESCRIPTION Plat Name: ROBBINS SPRING BROOK TO RIVERTON Vol /Page: 016/057 Legal: Lot 16-17 Block 1 ROBBINS SPRING BROOK TO RIVERTON W 10 FT OF 16 & ALL OF 17 13011. 13015 Lo7r•ta MN -t2 AtAI -23 . nooi v N 13413 ,. /! 1301T '‚Cl, !SOZ7 n ct� 13631 APPLICANT: REDMONI MOVERS INC. (Signature) Linda M. Cook (Title) ASSIGNMENT OF FUNDS TO CITY OF TUKWILA Financial Institution: US BANK (hereinafter "Bank ") Applicant: REDMOND MOVERS INC. The above referenced bank hereby certifies that the sum of $5000.00 is on deposit with the bank in account No under the name of REDMOND MOVERS INC., to secure for the City of Tukwila the 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. BANK: US BANK, Bear Creek Branch• - Iplypop cd04 . .(Date) (S re) (Date) (Ti8tle) (Name) (B•anch) (Address) 7 geNY■Crvq WA. - i C. NT tar ACT ' FOR OFFICE USE ONLY PERMIT # ST TE HENS 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. /41/ L PPA' ontractor's Signature Date ' ifrn1 /JO VC WA State Contractor's License Number Expiration Date RECEIVE[) CITY OF TUKWILA • AU6 f. 4 X92 ER'S ST TE ENT FOR OFFICE USE ONLY PERMIT # 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. Owner's Signature Date f49/9.12. RECEIVED CITY OF TUKWILA AUG 1 41992 ATE: Telephone: 242.9547 ITY Kr.CI /LiQ AME: 606G-V7`' A) 6W411) HONE : 7 - / a 7 DDRESS OR APPROX ADDRESS: 25 Se) / 3'71r .EGAL DESCRIPTION : LOT /' ?BLOCX : ADDITION : /44.5" .5;,eir/06-e < 'ROPOSED USE: .44 61r /4) SC 654)771 ******************************************* . * * ** * * * * * * * * * * * * * * * * * * * *iE * * ** "O BE FILLED OUT BY WATER DISTRICT NO. 125 i� >I2E OF MAIN SERVING SITE IS INCHES. lAIN IS 3INCERELY YOURS, , tUSSELL AUSTIN C'e Water 2)istric1 no. 125, J<ni aunty f FEET FROM THE SITE. f HE NEAREST HYDRANT IS APPROXIMATELY �J� -� FEET FROM THE SITE. (HERE IS APPROXIMATELY 7S GALLONS PER MINUTE. P.O. Box 88147, Riverton Fits. Br. Office: 2849 South 150th SEATTLE, WASHINGTON 98168 • fm 577X. FRANKLIN PEARSON Superintendent ANN WILSON Office Manager REED CITY OF TUKWILA AUG 14 1992 PRE -MOVE INSPECTION PROJECT: gONr)2. NSW ma+.! Address of present location- Z.,13 1(D �2` =` A-4- • Address of proposed relocation site- . 35zz s f so .T 1) Exterior condition of structure - �l30P 2) Type and condition of any building appurtenances (porches chimneys, exterior stairs, etc.)- - L SN? dij �3ACI! AOp cam --POaX C ►-v t-3w+J A ov ru.►J w, Lt.. r ;�' b r w�, Aux re-. g rro 0 v.i nom, Matt 3) Roof condition and type- .q r w iriA ( Lo pic y,,,o$S A►•ao o G rt,.f\c. w. Kitt ba-ra M (fl oacco ca zxliz •QO , 4) Type of roof system (stick frame rafters, trusses, skip or solid sheathing, size of rafters, etc.) srluc- Frtetva6 2.$4 S tu' P tact s m i n sp M 5) Type of foundation and floor supports- <p . Fo 4& eOt+V 13 24 wok (F..) eows c)F c- B 6) Current heat source (electric, gas, oil, etc.)- COIL. FUC,N 7) Type and condition of any visible electrical wiring- NO 8) Location of any existing smoke detectors- NONE 9) Code complying fire separation between house and attached garage- OA 13) Type (s) of insulation (if any) - p, P tJdN6. , 2rx4 N U/C Arc- tai Cc" p I N. . 14) Signs of insect or rodent infestation- m 10) Location and type of windows or other glazing - 50.166€ ' 'E . SaLS 4 15" A6dvvir F1- o0A -• 11) Location of attic and crawl space access- /1 CCivSS 1 „„ ct-os - r 15 (3" 11 (1 • ' COWL SPAcC A•CCRS•S (IQ W 414. C LO'S T. 12) Adequacy of attic ventilation- (& G4r1&E' E vt 5 - ArUt itiA . 15) Is building moveable in one section? 3q_ . 26 ' oJtDE City of Tukwila Dept of Community Development 6300 Southcenter Blvd, Suite 100 Tukwila, Wash 98188 Robert E. Newman 341 Smithers Avenue South Renton, Wash. 98055 (206) 277-1287 May 20, 1993 Attn: Denise Millard 'HfRe.: Permit Coordinator Dear Denise, Please extend the above referenced permit 180 days. Due to the wet weather delay this spring, we will not be able to complete the project prior to June 9. If you need any additional information, please let me know. Sincerel REN:dn obert E. Newman WY 2 4 1S93 •. • c...,-uvr; • D EV - 'IA ENT .gTrv�,y y�vrs 44 , /LE CITY OF( . "UICWIL4 6200'6outhcenter Boulevard, Tukwila, Wash Lion 98188 (206) 433 -1800 MEMORANDUM TO: / 5 FROM: . /(2/4 /4 �jE�PDC DATE: /, /c2 /9.7-• SUBJECT: /l/47//9,44i1/ .5:47? F-57.2 2 . 5 t .57'/PZ,E7 A I+ Ar •4 r ' , ,TY / /.f'Pzrz ' 77/.& .S /./iP J, 7" ,L .Y4. S APi !OFD 777/ lily - 1I.1 i A 4 c' Y / //f' August 11, 1992 City of Tukwila Mr. Robert Newman 341 Smithers Ave S. Renton, WA 98055 Re: Pre -Move Building Inspection (BP92 -0268) Dear Mr. Newman: Q Department of Community Development Rick Beeler, Director 1. A pre -move inspection of the house located at 21316 22nd Ave S. was conducted by a Tukwila Building Inspector on July 30, 1992. Attached is a list of items that the inspector observed and wrote up. Based on his report it has been determined that the house is suitable to be moved into Tukwila. It should be noted, however, that the inspector's report is not meant to be a complete list of items to be corrected. It is meant only to be an overall opinion of the general condition of the structure prior to it being moved. Specific code requirements will be addressed during the plan check process, after you submit a complete Building Permit Application. 2. If you decide to move the building you will be required to apply for and obtain a Building Permit before starting the move. It will speed the permit process if you show on your application documents how you plan to make any appropriate corrections to existing or potential problems pointed out in the inspector's report. 3. Tukwila Municipal Code Section 16.04.140 states: "In the event a building permit is issued for a relocated building, the fees for building, plumbing, electrical and mechanical permits shall be based upon the total value of the improved building or structure at its relocated site as estimated by the Building Official." Therefore; the fee for the building permit .you must obtain, before moving the building, will be based on the valuation of the building at $46.00 per square foot. This is the lowest valuation amount for residential buildings shown in the Building Valuation Data chart, published by the International Conference of Building Officials, which is the fee schedule source document used in Tukwila. Using that valuation, the actual fee will be determined using Table 3 -A, Uniform Building Code, 1991 Edition. A plan review fee will not be required. John W. Rants, Mayor 6300 Southcenter Boulevard, Sulte #100 • Tukwila, Washington 98188 • (206) 431 -3670 • Fax (206) 431-3665 b. Site Plan Also show length.of c. A complete d. Structural structural e. Completed sewer and new Foundation Plan. 2 4. Tukwila Municipal Code Section 16.04.170 states: "No relocation or demolition permit required by this chapter shall be issued by the Building Department unless the applicant therefore first posts a bond, in a form approved by the City Attorney, executed by the owner of the premises where the building or structure is to be located or demolished as principal and a surety company authorized to do business in the state as surety. The bond shall be in form joint and several, shall name the city as obligee and shall be in an amount equal to the cost plus 10% of the work required to be done in order to comply with all the conditions of such relocation /demolition permit as such cost is estimated by the Building Official. In lieu of a surety .bond, the applicant may post a bond executed by the owner as principal and which is secured by a deposit in cash in the amount specified above with a banking or escrow agent acceptable to the City and conditioned as required in the case of a surety bond; such a bond as so secured is hereafter called a "cash bond" for the purposes of this section." Based on the paragraph above, a bond must be posted for 110% of the work to be done, which, as a minimum, will include the complete cost of the new foundation plus any anticipated remodel or repair work shown on the plans you submit as part of the application package. Since it is not known what type of foundation you plan to put under the building, or if you are planning any remodel work, the amount of the required , bond cannot be determined until after the permit application is received. At the time the bond amount is determined, based on your submitted documents, you will be notified of the amount of bond that will be required. The bond must be posted before the permit will be issued. 5. As a minimum, the permit application package should include: a. Legal description and Assessor Account Number of property where house will be moved to. (On plan show closest hydrant location. access to building - including width and access.) details and cross sections'of any new or remodeling work. utility permit application (including water availability letters). Sincerely, f. Signed Owner's Statement and signed Moving Contractor's Statement (copies of these statements are attached to this letter). 6. If you should have any further questions regarding permit requirements for moving the above referenced building please feel free to call the Permit Center at 431 -3670. Building Official 5 Atchs 1. Bldg Inspector's Pre- Move Inspection Report 2. Building Permit Application 3. Owner's Statement 4. Moving Contractors Statement 5. Utility Permit Application