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Permit B92-0330 - MOZEK RESIDENCE - MOVE HOUSE, FOUNDATION AND REROOF
1 � Sean Dyment CBIC. 1213' Valley ST P.O. Box 9271 Seattle, WA 98109 -0271 Greg Mozak Performance Bond for permit B92- 0330. John W. Rants, Mayor Rick Beeler, Director Dear Mr. Dyment: The Performance Bond #WA5759 for Greg Mozak is released. The relocation project performed in the City of Tukwila has been . completed and inspected for compliance. I am enclosing the original bond submitted to this office. If there is anything else you require from the City of Tukwila please . contact me at 431-3672. Sincerely, Denise Mill ra d Permit Coordinator City of Tukwila 2 5`' L'ZiJ/ of 71llJtW$l Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: B92 -0330 Type: B -RELOC Category: RES Address: 14621 42 AV S Location: Parcel #: 004000 -0946 Zoning: Type Const: V -N Gas /Elec: Wetlands: N Water: N/A Contractor License No.: TERRYAL085J3 OWNER MOZEK GREG 14621 42 AV S, TUKWI.LA " °WA = 9.81.88' CONTACT MOZEK GREG 4219 S 146 ST .TUKWILA, WA 98168 CONTRACTOR T.A. LEE , RENTON, WA 98056`. HOUSE:MOVE /FOUNDATION /REROOF Units: 000`, Buildings 000 Fire Protection: UBC Edition: BUILDING PERMIT Fron.: L e;f. Type of Occupancy: DWELLING Slopes: NONE Sewer: N/A SETBACKS Back: Right.: Date: L.- it1e: aw4/Efg (206) 431-3670 Status: ISSUED Issued: 12/28/1992 Expires: 06/26/1993 Phone: (206) 241 -8544 Phone: 206 241 -8544 Phone: 206 228 -1251 *************** Ar****************************** * * ** * * * * * * * * * *, ** * * * * * * * * * * * ** Permit ion Valuation: 90,0.3.6.00 Total Permit Fee: 64 *******;********************'*'**********'*****a** * * * * * * * * * * * * * *: * * * * * * *' *; * * * * ** Permit C•, enter Authorized Signature Data I hereby: certify,: that I have read and t e xamined this permit and know,'the same to br:u,e:;and ,correct. All provisions `of law ,and ordinances governingt,his. w+or..k w i l l be complied with',,, whe'ther." specif ied herein or not The granting' of "this permit does not, presume'` give „authority toviolate or cancel the! prov i s i ons ,,of any other stator, l o,ca l l aws regu l:a;t'i ng construction, or the ,performance of work. I au'th'orized" to sign for and obtain this building permit: � 41 1 4- Signatur.e: ff ���1 --�, Print :Name:6A_ This permit shall become null and void ,f th.e work is "not commenced within 180 days . from the date of issuanc o i f th i .work is suspended or abandoned for a period of 180 days "'`from' `the` last inspection. PERMIT NO. CONTACTED Liz_7(---k-- 1ene_. DATE READY DATE NOTIFIED _ (� BY: (" '"l (snit.) .�� PERMIT EXPIRES 2nd NOTIFICATION BY: (Init.) MOUNT OWING (D 0:3` 3RD NOTIFICATION BY: (Init.) PLAN CHECK NUMBER ,97a -03.30 BUILDiNGERMIT APPLICATION TRACKING PROJECT NAME /VOZEK 4 SITE ADDRESS SUITE NO. ' INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that any time the status of the project may be ascertained. • Plan corrections shall be completed and approved prior to sending on to the next department. • Any conditions or requirements for the permit shall be noted on the plans or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ". BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION (to be filled out by Plan Checker) FL SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE OCC. FEET LOAD SQUARE OCC. FEET LOAD TOTAL SQUARE FEET DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. REVIEW COMPLETED spee e. ROUTED ZONING: INIT: INIT: BAR/LAND USE CONDITIONS? Detectors D>"P RTAi1E BUILDING - initial review O FIRE LANNING O PUBLIC WORKS 0 OTHER ,BUILDING - final review CONSULTANT: Date Sent FIRE PROTECTION: U FIRE DEPT. LETTER DATED: TYPE OF CONSTRUCTION: UIR REFERENCE LE NOS.: MINIMUM SETBACKS: UTILITY PERMITS REQUIRED? 1 C011 MEN PUBLIC WORKS LETTER DATED: ,g -',y INSPECTOR: UBC EDITION (year): ends ti CAD o W QY b dOnt Date Approved - TOTAL OCC LOAD SITE p(�� A /� /t' �/ (� /� / SU UI ITE # T VALUE OF COIA UCT ON - �� CC PROJECT NAME/TENANT G- R . 4-. N1024 4 ASSESSOR ACCOUNT # Oo goo 6 —0,•q6 TYPE OF • New Building U Addition U Tenant Improvement (commercial) U D molition� building) U Rack Storage i Reroof 0 Remodel (residential) U OOther f' 04? 5� �°Y/ _ _WORK: DESCRIBE WORK TO BE DONE: r 4- -,<) vF A(, vv f x/ /v,47e /V b/ae ( hP )4''/{7 s� k1',',' 1-2-'G6'c' 7 BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? N No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: ( q (.Od VS Tenant Space: Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? X No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER p 4'6- � o /V , � z PHONE 2 4 g ye/e , ADDRESS „Tit „Tit 2. / 9 5 . / q 6 f el : 5 T/1 4 7 G(/wi'L/I- w / .1. ZIP C7) 0 / 63- CONTRACTOR - A , 4. e PHONE 22 S -- (Z 5-7 ADDRESS // 3 q S. g- 6 3 th /Q / V w-A 2F4 -6 ZIP ?;76,...c--6 WA. ST. CONTRACTOR'S LICENSE # 7- Az_ D g- E J 3 EXP. DATE L 'i lot 1 q. PHONE ARCHITECT ADDRESS ZIP CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK NUMBER I HEREl3Y. CERTIFY:iTH I HAVE READ AND:EXAMINED 7.. S APPLICATION /A BE TRUE;AND: CORRECT AND I AM :AUTHORIZED TO. °APPLY F.OR:THIS FER BUILDING OWNER SIGNATURE OR AUTHORIZED AGENT PRINT NAME G;.x CONTACT PERSON .74/14 F APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Building Division to comply with current fee schedules. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter froh. 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 exczeding 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 th- I once. If you have any, • u Z~ 2 *� r our process or plan submittal requirements, please contact the Dep. t r ` - % munity Development Building Division at 431 -3670. • DATE APPLICATION ACCEPTED O CT ADDRESS `tai 9 S , /4( 57 &t7 /tlr Oz4' 1 BUILDII'J PERMIT APPLICATION DESCRIPTION ::: BUILDING PERMIT :FEE PLAN CHECK'FEE. `. BUILDING SURCHARGE ;:: : OTHER :.TOTAL AMOUNT: RCPT::# DATE:> DATE APPLICATION EXPIRES DATE /C, 0-5 92. PHONE Ze(( S 4'4 CITY/ZIP - 9,5 PHONE 2 4e, e, COMMERCIAL NEW COMMERCIAL BUILDINGS/ADDITIONS . • I 1 I SUBMITTAL CHECKLIST . • ' , . : ..• ' : ri Completed buildin applicatioh (One for each structure) AsseSsor Account Number . „.,.. : . :„ „ : ..., ::::: :. : • ......:::::::::........„.. i . ...:.....:, ........„,.. : " ..• •• . . '' 66i6 of the following • „ •.: :PPeOfffOit 01..coloUtatioris•:stempe0 t?i liCense • • • ... • • ••• ...••• engineer •........... •...•..•. Soils report stamped by a $/eshiejtOrr„tett11000004:001h60r . „.... Topographical Energy..0alCUlatioits•stampeci. by a Washington State licensed engineer or architect Legal description Working • " • ................ y a Washington State licensed architect which include . .. .. • • Site p lan Architectural drawings Structural drawings . . • El . sionso .. (height, width COMMERCIAL TENANT IMPROVEMENTS Completed building permit application (one:for:oech struturo or • . . Assessor wo (2) sets of coristwction plans which include Site plan :l .• . . • .... • • change of use 0 ExistIng and proposed parking all building plan . Use of adjacent (common Wall) . • . • tena Floor plan .................... of proposed W a lls Tenant space pian with use of each room labelled Construction details Cross sections showing wall constructi New walls, is 1.. . • .... attach rnent for floor and • . . •:• . . . egr ess frig v • . . • .. ceiling Structural calculations stamped by a Waston State licensed hin9 • . ... ••• • • • • 6 tio in ear. may ; plans. • wor I s to be dope submit separate utility permit • • • • . •• • •-• ..i " Assessor Account Number • INarfatiV 61 .40 • 00ribiric . E.010StIed06t; : reitt0001::h0I0OiefriOcid.,"::60d...:::: —‚ matenal being installed NOTE A certification letter Is required prior to final Inspection and sign ::ANTENNPJSATELLITE DISHES I;:.:: Completed building permit appiicatio Two (2) sets of plans, which Include ri Site Plan (showing building arid location of antenna/satellite dis Structural calculations stamped by a Washington State license engineer may b� required . ... RESIDEN REMODELS:.::•::• ''Core p er m it Assessor.Account Number;;,:.. wo (2) sets of working drawings, which Inol Site plan Foundation plan Floor plan Roof plan 'Building elevations (au viewi • 0.000.0.0*0##0Pri.f::::::i.g;k: NOTE If any Utility work Is to be done and plan . .. .... •'" AssessoAcoup Number material being Installed •••••'• NOTE:;:.* required PriOr...to final Inspection and si off of the permit • • • rpyidc i . SITE ADDRESS SUITE # VALUE OF CONSTRUCTION - $ PROJECT NAME/TENANT Ggg C� /vie? K ASSES OR ACCOUNT # (commercial) O • -molition (building) .. Other: r v . C • 6 TYPE OF 0 I(ew Building Li Addition U Tenant Improvement WORK: O Rack Storage O Reroof Dig, Remodel (residential) DESCRIBE WORK TO BE DONE: /96 /(66 © 4, / \/4 r- otwO ,4r'(cy4- vtt(t -, G,(' /.4Yf(L S?4cA Ho 7 > ear .tc 6f0/ E,el- 4/v!' 1-(0‘)/r27-.° /r 6-6° BUILDING USE (office, warehouse, etc.) -gUSe, - 1 b.2. r(NOV .ea -'-,o Hipal Lt 1`v5 R F5 ( t o / C/ NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? X No O Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: /9 6 0 Tenant Space: Area of Construction: Zd C7 � ILDING? WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER G�/G"� � , bz,E (PHONE r ADDRESS /3 WO O ,S. ivtik, 4 DAM ZIP%o / 68' CONTRACTOR PHONE ADDRESS ZIP WA. ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT PHONE ADDRESS ZIP CITY OF TUKWiLA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 HEREBY;CERTIFY THAT;( HAVE READ ;AND EXAMINED THIS; APPLICATION AND KNOW THE SA lw TRUE. AND CORRECT, AND i .AMiAUTH.ORIZED!.TO APPLr:FOR:THIS;P ..::. . BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON SIGNATU PRINT NAME ADDRESS 5 ft/vr BUELDLk3 PERMIT APPLICATION BUILDING SURCHARGE DESCRIPTION BUILDING. PERMIT: FEE PLAN CHECK FEE : AMOUNT: RCPT DATE PHONE r 3/9z PHONE ` 83— e-eli CITY/ZIP 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 -. period not exceeding 180 days upon +:r "ten 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 4C 1 -3670. DATE APPLICATION ACCEPTED q--) DATE APPLICATION EXPIRES 3 03/16/91 COMMERCIAL NEW COMMERCIAL BUILDINGS/ADDITIONS P1 Completed building permit application (one for each structure) Assessor Account Number • : • ,. : . • • "" •• Two sets (2) of the following: • [ Specifications Structural calculations stamped bY:e.WashingtOn State licensed engineer :: • • • . • : F). Soils report stamped by :1 Washington State licensed engineer Topographical survey I Legal descriptiOn •• ....„.„,,. . • ":" • ••:::* ••••• :**' — 1.Working drawings stamped by . a Washington State licensed prchitect, which include:* •••• • • " ••• .••• •• ••••. • •••.;': •• '••••• :•„:•:„:::,••::::„:•• Structural drawings ' . Mechanical drawings Elevations • • C ivi l • d ra w ings .. . •• Landscape . • • • . • • . . •••• • " •••• • • . • • •.•.• •••, • • • • Completed utility permit:application (oriel Six (6) sets of civil drwings r •••■■••■•• NOTE See utility permit application and checklist (or specific utility submittal requirements • • NOTE Include dimensions of racks:(height,;Width and length) aisles and exit ways on plan I Structural calculations stamped by a Washington State licensed engineer (rack storage•:B•arid •• ••••• • •• : . ::: . .. RESIDENTIAL Energy Calculations stamped by a WashingiOn*State•liCanied::::::: engineer or architect : ; : •• " • '" • . 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' '''..ii.::°',i-'77......iaiel ..::::,.:::::::,::::::::.::.,..„:„.„.•,,..w,,,, ,:,.:„...,.....,:,..,..... .: :.: .E • ,,,:::.„::::,,.,...:.,.::::„.„,..../ „ .:. :::i.,....7:.:.,,,:ii,....:,,,.....,.:::::.;,.:......::,:.'bi',',.,"',.::1,...,.'tir.,,,c.)6„....,,ii.....,0,,...'.'..,,:.!!:,,,.,....,..7... •'. . i • faula......tiirpo.,. , • • .,...:. . . . :... ..1111•••••■■• . . . • .. . CoMpieted•haiiding •PerMit:,aPPlICatiiik(OnejOr:eackStraPtare AssipOr. ... Two (2) sets of working drawings, which include Site plan Foundation plan Floor plan Roof plan Building elevations (all view Building cross section NOT l(sn vtility work Is to be done prowcic' utili and plans must be submitted ; coniPieted material being Installed ting*•,,ipa ;POTE,rA off of the permit '•••• . . PERMIT NO. CONTACTED DATE READY DATE NOTIFIED BY: (init.) PERMIT EXPIRES 2nd NOTIFICATION BY: (init.) AMOUNT OWING 3RD NOTIFICATION BY: (Init.) BUILDING('ERMIT APPLICATION TRACKING PLAN CHECK NUMBER Ma- 03 PROJECT NAME SITE ADDRESS 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) FWQ TOTAL SQUARE FEET ' OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET SQUARE FEET OCC. LOAD OCC. LOAD SQUARE SET OCC. LOAD TOTAL SQUARE FEET TOTAL OCC. LOAD DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. PA BUILDING - initial review 0 FIRE 93:PLANNING X PUBLIC WORKS 0 OTHER BUILDING - final review REVIEW COMPLETED INIT: INIT: INIT: INIT: 0 0 (ROUTED) INIT: WI , Gffn CONSULTANT: Date Sent FIRE DEPT. LETTER DATED: ZONING: REF- ERENGE -F4I -NOS.: TYPE OF CONSTRUCTION: EQ MINIMUM SETBACKS: N- UTILITY PERMITS REQUIRED? PUBLIC WORKS LETTER DATED: J S- Yes SUITE NO. Date Approved INSPECTOR: FIRE PROTECTION: ( ) Sprinklers (-) Detectors ( ) N/A BAR/LAND USE CONDITIONS? Yes !p w- UBC EDITION (year): PERMITS 0 REQUESTED A. o 0 ae 0 ,4z/ry2. kv,aorg WATERMET . REFUND/BILLING ::::ti Street Address: MONTHLY Name: SERVICE BILLINGS TO : Street Address: No. of Units: LEI Commercial/Industrial ... • MISCELLANOVS INFORMATION city of MC Av F ila \App,atio.p.,# - 'q2- - 0/3 Ca Central Permit System - Engineering Division — D306 6300 Southcenter Blvd., Suite .11100, Tukwila, WA 98188 Phone: (206) 433-0179 PROJECT Site Address: L / 7 ,Se-e 7 A v/I-A44 /--/O4A4- T/e5 INF°F Name of Project: 0 z AT ( ,e9,eit(c Property Owner: &- s._ A4 0 Street Address: q2-/c3' -5 e. En9ineer: Street Address: Contractor: /i A,( Ad dress: /9 52 4 v t": 4/6 .King Cty Assessor AcctitiQa #: UTILITY PERMIT APPLICATION Channelization/Striping/Signing Curb Cut/Access/Sidewalk Fire Loop/Hydr. (main to vault) - No.: Sizes: Flood Zone Control Hauling Land Altering /2%, cubic yards Landscape irrigation Moving an Oversized Load Est. start/end times• Date: Sanitary Side Sewer - No.: Phone No.: 'az( ( City/State/Zip: 'rah (4 try,4. 9E Phone No.: City/State/Zip: Phone No.: 7 City/State/Zip: 6 1e/Y4Tew4/ (4-'/) Exp. Date: O Sewer Main Extension CI Private 0 Public ykl. Storm Drainage O Street Use O Water Main Extension OPrivate 0 Public O Water Meter / Exempt: - No.: St_ Sizes •__ Deduct D Water Onl O eM Water Meter / Permanent - No • O Water Meter/ Temporary: - No.: Estimated quantity: Schedule: O Other: Name: 0 Water 10 Sewer El Metro DESCRIPTION OF PROJECT El Multiple-Family Dwelling 0 Hotel El Standby El Motel C1 Office CI Retail .4 Single-Family Residential 0 Duplex El Triplex CI Warehouse CI Manufacturing 0 New Building 0 Remodel/ Square Addition Footage: King County Assessor's valuation of existing structures: $ El Apartments CI Condominiums ED Church 0 Hospital Phone No.: City/State/Zip: Phone No.: City/State/Zip: 1 HEREBY CERTIFY THAT I HAVE READ THIS APPLICATION A :1< . 1 Th Applicant/Authorized Contact Person ,. rint name): (- /Y/. Aggrjj_Sig r . • 4, / • Print Name: 6 I-56 An 0 2 1•661IED Date: 2, Phoney Date Application Accepted: 0 c-f 2 6 1992 Date Application Expires: PERMIT CENTER O Other: Square footage of original building space: Square footage of additional building space: Valuation of work to be done: $ Address: qz (q s - CI School/College/University O Other: TRI/EA DCORRECT. A4 0 2A.- e-/C 5 g Phone: ?_4- 4 (4 . 04/22/92 kor),****4**0,4,;.,k**44i0,*hir***** ******#4.**4,********************** rry oF ,TuK14XLw, WA TRANSMIT 4,************4f,!;v4c***-kic*****,ii#4i**4f**4i**4****'********-Eii#4!**#***** TRANSMIT `Nonberi 09/,14/9,07 o: �92-030 . Type: R-RgLoc RELOCATION .• . • . • • • Letioh: . 8-21.0TH •ST AND 21 V S , • • -• SCR: Account Code ; Description Paid • .; , 000/322i:190'; RES .•:•• ••• ," • Total '" (This Payment): •.40.'•60 1.1* 7• Iwo •••■• .... •..1 7 ... 117 7 WM •■11; ••■• 771 7 0■07* 71 17 1•111 .. 71 . . . . 7 .?7 GENERA 40.00 TOTAL 40:00 CHECK, • 40.00 CHANGE: • ' 0.00 •3383A000 15:51 '••• TotEti Feei -• , ,„ „ Total All Peyeeiit;st',. : • : 40.00 �". ` F, ��4`. � �("i "i {tFtyriV'F "�r " ��•:1:7'itiwii;.(:,t;� A • f. ;.i i � ;'�' f*,*k*s **.* rt k*** r * *A.*,kJl**.t* *kh****,* • * **** ***.* ** **.t *kkk * *A•***** • aITY• OF TUKWILA, WA TRANSMIT 4.* ** r** k*' A****** *,h_** * ** ** * **k * *k.a4ir * **k*/r* * *k * *k *k. *:.* *�k•** * * * * * * *�1 . TRANSM7 T ;.Numbers m ' 920014b1 ::Amount tt 25.00 :12/28/,92 090.5 P rmit' ;:PW 2 03OS Type: , PH7SD STORM DRAINAGE P irc:el Na a 00400.0 -094u Site Addr'ese'« `1' 621 42 AV S Psiymerki :Method :` CHECK Nirts.tiarir GREG MOZCK SI.R. k**.** tk k**kk* k * * * * * * * * ** * ** * * * * * * * * * **,* *k ** Ac.courit;.Cod ;:Dd�criptipn Psid. 0O0%34 .03q`. 'PLAN CHECK •- UTILITY 10.00 41 2/ .42, 400`' INSP FEE: ,, STORM DRAIN 15.00 Total (This Payment): 25.00 25.00 25.00 .00. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * CITY OF TUKWILA, .14A TRANSMIT ** * * * * " * * * CdrA**** * * *ik * * * * * * * * * * * * * * * * * * ** *** * ** *fir * * * * * * * * ** TRANSMIT Numbers;' 92001460 Amount: 55.5,0 "1.2/25/92 09124 Permit Not 'PW92- ,0307" Type: PW-LA LAND ALTERING PERMIT Parcel' No: 00.4000 -094G Site Ad dr,esi x 14621 42 AV. S Payment Moi'tn'odt CHECK Notation: GREG MOLEK Initv SSLU * ** * ** * * ** * *, / r**** is*** * * * * *1 * * * * * * *** * * * ** * * * * * * * * Accou'nt'.Code Description Paid 000./322.1 BUILDING'- RES 3.00. 000'%345 . 530 PLAN CHECK -- RES ,22. 5D Total (This Payment): 55.50 ? ^ ''*C4iarx; .iiryr . Yd' s;�. >i: > �� a:-!:.. r- :z..l:.w...........�IS... . Total. Fees: Total All Payments: ' .Dalancec 55.50 55.50 .00 1 'y1 1 ;: \. 1:q 4 $.c 1;4 4 Pi■i•iii'sj.( ,A; ;.; ,,„ kick**k ***;,*************************** ITY OF-TUKNILA, WA : TRANSMIT if**4********i4(0.4*#********k****************A4c***4,****: TRANSMIT Numbien 603.50 12/2802 09:21 ) 4^mttNo:::0270330 Type; B.--RELOC RELOCATION PERM/ ParcelJ102.0040100946 'SfteACOresal,-.14621'A2 Akvp: Payment lMethod. . OECK::::NotatiOnt 'GREG'MOZEK )nit: SLD *****k****************0(*************4********44*******k******* :Account Code , Description • Patd. 000/322.100 BUILDING RES 399.00 0001386.104 'STATE.BUILOINO SURCHARGE A Total .(Thts'.0ayment).:, 6W Total Fees: 643.50 Total All Payments: 643.50 Balance: .00 • GENERA 599.00 GENERA 4.50 GENERA 10.00 GENERA 15.00 GENERA. 33.00 GENERA 22.50 GENERA 10.00 GENERA 15.00 TOTAL 709.00 CHECK 709.00 CHANGE 0.00 6351A000 16:08 .CITY OF TUKWILA; w TRANSMIT TRANSMIT Number: l',.92601459 ;Amount: 25.00 12/28/92 09:24 Perm i , PW920‘306 Type: PW.CCAS CURB CUT/ACCESS/SIDE Parcel 'No i„ . 1 Site Address: 14621 42 AV S Payment Method: ',CHECK: Notation: (3REO MOZEK *********4.k********44*********:*********#******************4,***** Account Code Description Paid 000/345:.830... PLAN ,CHECK - UTILITY 10.00' 000/342.406 TNSP FEE -- UTILITY 15..00, Total (This Payment); 25.00 \7 ,14046" -- cps'' c)d Total Fees; 25.00 Total All Payments: 25..00 Balance: .00 Address: 14621 42 AV S Tenant: Type: B -RELOC Parcel #: 004000 -0946 CITY OF TUKWILA Permit No: B92 -0330 Status: ISSUED Applied: 09/14/1992 Issued: 12/28/1992 •**********•****•************•****** ******** * ***** ****** *** *** * ***k k**•** *fir* kkk* Permit Conditions: 1. .1. PRIOR TO MOVING THE HOUSE FROM ITS EXISTING LOCATION, THE APPLICANT WILL BE REQUIRED TO FURNISH COPIES OF THE WSDOT MOVING PERMIT, ROUTE MAP AND ,INDI DATE AND TIMES FOR THE MOVE. 2 PRIOR TO FINAL ACCEPTAN THE 'APPLICA ► `ILL BE REQUIRED TO SIGN A NO- P.R.OTeST "AGREEMENT FOR FUTURE'.'.IATER SYSTEM UPGRADE IN VIEWrOF THE :IE;XISTING; FIRE HYDRANT DEFICIENCY, AND ALSO RR,E;PARE AND EXECUTE DOCUMENTATION WHICH`WOULD PROVIDE ; ,TH,E'- CITY., ' AN` ADDITIONAL' 5' `OF R /W :4 ; 2ND AVENUE SOU`TH ,, .. , , : 0 ,a , 2. No changes . i a4�1 be m a J de . to the plan ' s un appr 1 Tukwilargu`il n. Divisio - ',, 3. Plumbs g'permit `shall be .obtained through the SeattleKin Count)/ ep,artment ,of Pub .l'io.`'Health.r: OM 6e'" inspe'c'•t ib.y that' agen cy`,` including all gas piping (296?-4722),._ 'cF ''' `„ 4. Electrical permit shall ° be.,-obta i ned, through the Washington Sta e. Divl,,s °'on °of Labor— and Irhdustries" and all electrical"' wor tG' wi l l be i nspected b y °tha' agcy en,` (248 - 6.657) . 5. Al litlechanical' work' 'shall b''e: un`der `separate :permit through : — ,F. _ t th C i ty.,of, Tukwi 1 a ,N' ., 6. Al 1 � t,s -, i�nsp ct i on .,reco;r�ds, a'r d � appr•o i d plans s, 1 � c li a l.:l ., , bq mair't'ined' avai lable' a.t th I46 ,siteprior 'to the start of , any '.'_c 1-,,, nstr�ctton. - Th:e,s.. documents : ar�'e,,t:o, /be., " avai , bl- ewes } tint final inspection`a'p 1proval d rante ;£, 7. Notify It thea.'City.of Tukwila Buildisng:� prior „to - plac srr� any: concrete. This procedure s in ' °adi addition to .any requi''r ,r en ,ifor =special inspect1'6n. :,,, N ';tiill Q. 8. Any eAlt4qed insulations backing ,mater sh ial ;al`l,h ve a Flame Spread i s -tang pf 25 - tor less, anti late i:al�. sha11t °''bear .iden fication f m ire performance rating..ther;eo,',f. 9. Provide o Tmney i spect i on,,, report for the ;masonry. chi after it Os' been moved and 'is {zi,n, l.ace "`'on the new``'fo rY r ation. Re or; to be prepared by p ct`ta p` ,�� t , p p y a chimney repair sp,�hG�i�"1- i st and shou 1` r;xf .d i cate any: - lama es . .iiat has occur. `and recomendations r e pair. , �ry��. � ,,4-414-?'" 10. All construction "to b: d/of ` "inn' cor'iafot la nce w:i't:' ".e`p raved plans and reme o 'M« 4 •- •�. '"w ne ,NttY 'wa. b•�`."� ., p•p rits. . ,t e Uni..f or.a -Am '� ' C _ ,..S a ter'Buode (1991 Edition) as Building ended by t ii`e ° =''{ a`",� �i.'n g� "t'o n`• • - `�" g , Uniform cal Code (1991 Ed and Washington State Energy Code 991 Second Edition). 11. Validity of Permit. The issuance of a permit or approval of rations and computations shall not be con- strued to be a permit for, orr an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. No permit presuming to give authority or violate or cancel the provisions of this code shall be valid. Protect: �� `D , Type of Insperc -r' f I'7 G Address: Dale Called: Special Instructions: Dale Wanted: f/ ier Requester; 6', Phone No.: 02 c . ,1.s 5 CITY OF 'TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes: COMMENTS: Inspector: } INSPECTION RECORD Retain a copy with permit ❑ 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. • ro ect: " 1074) .IC , Gi Y-2 Ype o nspe « ion: Pw c1 f1Gt. \ Address: )L ( 0,Q I t..4 4 K 3 Date Called: Special Instructions: PWg Q-030b Pt► — 030'1 Pwq a - o3 0`6 CcA I. A sr) Date Wanted: am. p.m. Requester: Phone No.: CITY OF'TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2( Approved per applicable codes. COMMENTS: -. INSPECTION ` RECORD Retain a copy with permit (206) 431 -3670 0 Corrections required prior . to approval. Date: Ng? 0 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd:; Suite 100. Call to schedule reinspection: 71il 77/1(f ��A ype o nspect . n: t Special Instructions: , ibrco 44 A disce....... , Date Wanted:--7 '-19 , 3 am_ Requester; Phase • . , 5 / i o. CITY OF TUKVVILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. [Corrections required prior to approval. Inspector: I Recept No.: ~- INSPECTION RECORD Retain a copy with permit • t3ate: 7 tai 9s (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. ro l I 0 Yre o ' A ;. ' . r off l tl e g� 95 Sp gal nstructions: at "ante; (91 _ q3 , R Requestet: \ � phanuees yy ( t ry CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.; #100, Tukwila, WA 98188 COMMENTS: nspect Approved per applicable codes. INSPECTION RECORD Retain a copy with permit ❑ Corrections required prior to approval. ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, tee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection: (206) 431 -3670 qr3 Project: Kyr\ f, (..-) ��� - 1 ( 'Lee 1 ype of Inspection: Q 111 l,j Address: N IQCI�t ` l 'tc3 I )5 Date Called: Special Instructions :. Data Wanted: ,-.)`q am. .m. Requester: G IMP G . Phone No.: c t-- � C s Q t • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Q Retain a copy with permit 1 ' • (206) 431 -3670 0 Corrections required prior to approval. COM MENTS; P l .4r A Pt it.o vt=b . . C . . . . 4 0 — . 4 - 0 + . : 9 PM -c. ',IC, w r c.c.. w . a - r , ` t r 3 e e rLz► Ai ES en -Cr 40.E. /S riu.sT (c: . \, S A iN .) ViFPd nspector: 0 $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • r.: P - 7)70 Z -e--,-- Ype o nspect on: �'u f/ i) e. ?�(tja Address v 4.3 / v c/ Ac,s Dete Called: _ . 0,2 Special Instructions: : i+.. , wYI:MI Date Wanted: ,,��� of - /G • %3 a p.m. / Requester: - -7P,ex z .e �- / Phone No.: a� e . i.2S CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 MM s: 'INSPECTION RECORD Retain a copy with permit ■ p^12re..0 1/. d33 PERMIT N0. (206) 431 -3670 ed per applicable codes. ❑ Corrections required prior to approval. 1 r , ,•1 i /G./ ecd", P ❑ $30.00 REtNSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'ro eci: 0 ►_� _ ype o nspechon: . Z- fa *VP.- ress: te : t ., I Special Instructions: V.e .. h o bi oc e._ on Date Wanted: am, ,m. Requester: re . V • .0 Phone o,: a CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 0 Approved per applicable codes. COMMENTS: INSPECTION RECORD Retain a copy with permit O Corrections required prior to approval. PiCaSiWYsJAW I h S (' re_a•Pnaz :- Scia- 0330 PERMIT NO. (206) 431 -3670 0 $30.00.REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. E S RECEIVED CITY OF TIJKWILA .. SEP1 PERMIT CENTER 1991 UNIFORM BUILDING CODE 3703 -3704 Chimneys used with fireplaces or heating appliances in which solid or liquid fuel is used shall be provided with a spark arrester as required in the Fire Code. EXCEPTION: Chimneys which are located more than 200 feet from any moun- tainous, brush- covered or forest - covered land or land covered with flammable mate- rial and are not attached to a structure having less than a Class C roof covering, as set forth in Chapter 32, Masonry Chimneys Sec: 3704. (a) Design. Masonry chimneys shall be designed and constructed to comply with Sections 3703 (b) and 3704 (b). (b) Walls. Walls of masonry chimneys shall be constructed as set forth in Table No. 37 -B. (c) Reinforcing and Seismic Anchorage. Unless a specific design is provided, every masonry or concrete chimney in Seismic Zones Nos. 2, 3 and 4 shall be rein- forced with not less than four No. 4 steel reinforcing bars conforming to the provi- sions of Chapter 24 or 26 of this code. The bars shall extend the full height of the chimney and shall be spliced in accordance with the applicable requirements of Chapters 24 and 26. In masonry chimneys the vertical bars shall have a minimum cover of 1/2 inch of grout or mortar tempered to a pouring consistency. The bars shall be tied, horizontally at 18 -inch intervals with not less than 1 /4- inch - diameter steel ties, The slope of the inclined portion of the offset in vertical bars shall not exceed 1 inch horizontal in 2 inches vertical. Two ties shall also be placed at each bend in vertical bars, Where the width of the chimney exceeds 40 inches, two addi- tional No. 4 vertical bars shall be provided for each additional flue incorporated in the chimney or for each additional 40 inches in width or fraction thereof. In Seismic Zones Nos. 2, 3 and 4, all masonry and concrete chimneys shall be anchored at each floor or ceiling line more than 6 feet above grade, except when constructed completely within the exterior walls of the building. Anchorage shall consist of two 3 /16 -inch by 1 -inch steel straps cast at least 12 inches into the chimney with a 18G-degree bend with a 6 -inch extension around the vertical reinforcing bars in the outer face of the chimney. Each strap shall be fastened to the structural framework of the building with two 1 /2-inch- diameter bolts per strap. Where the joists do not head into the chimney, the anchor strap shall be connected to 2 -inch by 4 -inch ties crossing a minimum of four joists'. The tics shall be connected to each joist with two . 16d nails. As an alternative to the 2 -inch by 4 -inch ties, each anchor strap shall, be connected to the structural framework by two 1 /2- inch - diameter bolts in an approved manner. Metal chimneys shall be anchored at each joist with two 1 by ! /s-inch metal straps looped . around the outside of the chimney installations and nailed with six 8d nails Per strap to the roof or ceiling framing. (d) Chimney Offset. Masonry chimneys may be offset at a slope of not more than 4 inches in 24 inches, but not more than one third of the dimension of the chim- ney, in the direction of the offset. The slope of the transition from the fireplace to the chimney shall not exceed 1 inch horizontal in 2 inches vertical. • • •,, . • • • • .• ;.• • MEMO City of Tukwila Department of Community Development TO: Mr. Greg Mozek 4219 S. 146th Street Tukwila, WA 98168 The Plan Review by Building Division indicates that additional information is required to show how various portions of the required work is to be accomplished. BUILDING DIVISION FROM: 'Bob Benedicto, Plans Examiner DATE: 12/8/92 SUBJECT: Plan Review # B92 -0330 John 'W. Rants, Mayor At minimum, provide the following details and /or information to plans: Show reinforcement for continuous foundation on detail. Minimum reinforcement for footing (as shown) is (2) #4 bars continuous at footing and one #4 bar continuous at top of wall. If foundation wall and footings are to be placed separately, provide #4 dowels from footing to wall. Extend minimum 24" into wall and space maximum 36" o /c. t Provide detail to show how 4x6 floor beams will be connected to and bear on perimeter. foundation. ✓3. Connection Detail: Connection of house to new mud sill needs clarification. Specifically, call -out anchor bolts for new mud sill, show existing T &G flooring location on this detail and how it relates to the connection. Proposed 16GA connection strap(s) are to provide lateral force resistance which would be equivalent to that which would be provided by ;1/2" diameter anchor bolts. This equivalency must be shown by engineering analysis, or an approved fabricated connector will have to be used. Rick Beeler, Director • 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665 • City of Tukwila Department of Public Works M E M O R A N D U M NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DIVISION DATE: DECEMBER 3, 1992 SUBJECT: UTILITY PERMIT AVAILABILITY /REQUIREMENTS Mozek Residence 14621 42nd Avenue South Project No. P92 -0136 Contact Person: Greg Mozek Telephone No.: (206) 241 -8544 THE FOLLOWING PUBLIC WORKS PERMITS ARE AVAILABLE FOR ISSUANCE ACCORDING TO THE SITE PLAN APPROVED ON DECEMBER 3, 1992: q Permit Fee -- •.(7k.) i ea IOC-& c $ 25.00 PI A ) 4 - 03o0 55.50 WSDOT Permit PW (A&. O ) $ 25.00 F W QoZ 0 $ Curb Cut /Access /Sidewalk Land Altering Moving an Oversized Load Storm Drainage TOTAL $ 105.50 The Developer is referred to other City agencies, including the Fire Department and Building and Planning Divisions, for other requirements which may affect the commencement of this work. Two copies of the confirmed Utility Permit Application Form and approved site plan are attached for inclusion in the permit file. JP /cd attachments: a/s cf: City Utilities Inspector (w /copy of plans /application Development file (w /copy of plans /application) Ross A. Eamst, P. E., Director John W. Rants, Mayor 6300 Southcenter Boulevard, Suite # 100 • Tukwila, Washi gton 98188 • Phone: (206) 4330179 • Far- (206) 431:3665 CITY OF TUKWILA Id: MISC150 Keyword: @ACTM Conditions Associated with the Activity Below Permit No: B92-0330 Owner: MOZEK Status: ISSUED Address: 14621 E User: 1636 02/01/93 GREG 141 `i 5ry RELOCATION PERMIT 42 AV S (t � 711. Change a Condition Id:C000000827 Enter Author: 1636 Notation: Effective Date Range- From: 12/03/1992 Thru: 01 /01/2050 Condition Text: (below) 1. PRIOR. TO MOVING THE HOUSE FROM ITS EXISTING LOCATION, THE APPLICANT WILL BE REQUIRED TO FURNISH COPIES OF THE WSDOT MOVING PERMIT, ROUTE MAP AND INDICATE DATE AND TIMES FOR THE MOVE. PRIOR TO FINAL ACCEPTANCE, THE APPLICANT WILL BE REQUIRED TO SIGN A NO- PROTEST AGREEMENT FOR FUTURE WATER SYSTEM UPGRADE IN VIEW OF THE EXISTING FIRE HYDRANT DEFICIENCY, AND ALSO PREPARE AND EXECUTE DOCUMENTATION WHICH WOULD PROVIDE THE CITY WITH AN ADDITIONAL 5'. OF R/W ALONG 42ND AVENUE SOUTH. Press.F7= Update Condition ESC = Cancel Update V4• Provide detail or call out on plan the method of conneciton of existing floor beams to new posts, and posts to pad, footings. Plan Review # B92 -0330 Page 2 12/8/92 ✓5. Full depth of space between floor, beams must be insulated to minimum R =19 insulation and supported at maximum of 24" o /c. This requirement will be noted on plans /amend compliance will be subject to field inspection. L 6. A 6- mil,black polyfilm ground cover is required at crawl space. This requirement will be noted on plans and c ompliance will be subject to field inspection. Foundation ventilation is required at the rate of a net area of 1 square foot for each 150 square foot of under floor area. Openings shall be as close to corners as practical and shall provide cross ventilation. The required area of openings shall be distributed approximately equally along the length of at least two opposite sides. Openings shall be covered with corrosion resistant wire mesh with mesh openings of 1/4" in dimension. This requirement will be noted on plans and compliance will be subject to field inspection. L. An occupancy separation is required between the garage and the dwelling structure. Minimum separation shall provide protection on the garage side which would be equivalent to that required on a one hour occupancy separation wall. (5/8" type "X" gypsum wallboard). Provide detail of your proposed separation on plans. !/9. Indicate on plans a header for the new garage door opening. Note on plans the method of providing bracing for the existing wall that will be opened for the new garage door. 0. Provide detail of method proposed to connect existing masonry fireplace chimney to new foundation. V1. Approval of the existing masonry chimney for continued wood burning use will require additional information. A report prepared by a chimney maintenance specialist must be C2lL � �1 a< a C submitted to the Building inspector prior to final inspection approval. In lieu of providing a report of the chimney condition, a U.L. listed all -fuel chimney liner may be installed full height of the chimney with an appropriate connection to the fire box or fuel burning appliance. Plan Review # B92 -0330 Page 3 12/9/92 Smoke detectors are required in each sleeping room and in corridor or area giving access to the sleeping rooms. This requirement will be noted to plans and compliance will be subject to field inspection. • Your application has been approved by Fire Prevention Bureau, Plannning, and Public Works. Final review approval and issuance of your building permit will be pending receipt and approval of the requested information. If you need further clarification of these requirements, please call The Department of. Community Development at 206/431 -3670 weekdays between the hours of 8:30 am and 5:00 pm. City of Tukwila Department of Community Development September 22, 1992 Mr Greg Mozek 13710 S. Macadam Rd Tukwila, WA 98168 Re: Pre -Move Building Inspection (BP92 -0330) Dear Mr Mozek: 1. A pre -move inspection of the house located at S. 216th and 21st Ave S. was conducted by a Tukwila Building Inspector on September 17, 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 Rick Beeler, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431366S c 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. b. Site Plan (On plan show closest hydrant location. Also show access to building - including width and length of access.) c. A complete new Foundation Plan. d. Structural details and cross sections of any new structural or remodeling work. e. Completed utility permit application (including sewer and water availability letters). 2 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. Sincerely, Dua Grrtta� t 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 HOUSE MOVE PROCEDURES APPLICATION REQUIREMENTS Fill out application form (separate application for pre-move inspections): Attach pictures of structure. to be moved. should show all four sides of structure. Provide address or detailed description of location where house is to be moved to. Pictures of the proposed building site will help to speed permit process. Provide travel distance from location of house at its present location to the closest Tukwila boundary. Cost of inspection fee will include travel time•spent outside Tukwila city limits. The fee for the pre- inspection should be calculated as follows: Basic fee is $25. form used • Pictures If location of house is outside Tukwila, but within 10 miles of city a $15.00 travel fee will be added to the basic fee. An additional $15.00 fee will be charged for every 10 miles,'or portion thereof, more than 10 miles 'distance from Tukwila city limits. Provide name and phone number of applicant so arrangements can be made later date to set up pre-move inspection appointment. Applicant should be made aware at this time that he must provide escorted access and provide necessary ladders, attic access openings, and crawl space access so that the inspector can make a thorough inspection of the structure. Applicant should state on the application paperwork whether he plans.to move the structure onto a new foundation with a crawl space, a concrete slab, or put it over a basement. At the time the pre-move inspection application is received and paid for a inspection request will be prepared and given to the building inspectors. Upon receipt, the inspector will contact the applicant and arrange for the inspection. The inspection will be scheduled to occur within 5 working days from the time the application submitted and paid for. PRE -MOVE INSPECTION Before making the pre -move inspection of the structure to be moved the Tukwila building inspector will visit the site where it will be moved to. The purpose of this site visit is to visualize possible problem areas in moving a structure onto property, the effect the building will have on surrounding area, and if any existing buildings exist that must be moved• or demolished. It also will give him the opportunity to alert other departments when it appears'•• issues covered by their ordinances might be affected if the structure is moved to the site. When making the actual pre -move inspection of the structure the inspector will inspect the following, as a minimum, and when applicable: Exterior condition of the structure. Type and condition of any building appurtenances (porches, chimneys, exterior stairs, etc.) General condition and appearance of roof. Type of foundation and floor supports. If it appears conditions exist that do not meet current code requirements the inspector will so annotate it on his report. Current method of heating structure (electric, gas, oil, etc). Type and condition of any visible electrical wiring. Location of any existing smoke detectors. Code complying fire separation between house•and attached garage (if applicable). Location and type of windows or other glazing. • Location of .attic and crawl space access. Adequacy of attic ventilation. Type of roof system (stick frame rafters, trusses, solid sheathing, skip sheathing, size of rafters, etc). Type(s) of insulation (if any). there any sign of insect or rodent infestation? ACTION REQUIRED AFTER BUILDING DIVISION CONDUCTS PRE -MOVE INSPECTION: Building Inspector prepares inspection report covering, as a minimum, the items listed above. Inspector should attach appropriate pictures as backup information for his comments. The Building Official, or authorized agent, will review the pre -move inspection report and forward it to' the Permit Coordinator to be reviewed at the next Plan Check Review Meeting. These meetings are held Monday, Wednesday, and Friday mornings. The personnel attending the Plan Check meeting will review the application and inspector's report to make a preliminary decision regarding apparent reasons why the structure shouldn't be moved. Based'on the results of this meeting, and the inspector's pre -move inspection report, the Permit Coordinator will forward a notice to the applicant that the structure either can or cannot be moved into or within the • city. If the building can be moved, the notification to the applicant will include any comments or known problems that will affect the moved structure and become a condition of the permit. After receiving notice that the building 'can be moved the applicant will have 30 days from the date of the notice to apply for a building permit. The minimum requirements for obtaining a building permit will be the same as for any other type building. The following additional requirements also will apply: A signed statement by the owner of the building being moved indicating his understanding that any remodel work, or additions to the structure, will not be • allowed unless shown in detail on the approved plans. This signed statement should also include his understanding that he cannot move the building into or within the city, or start construction or land clearing at the new site, until the permit has been approved and issued. A signed statement from the moving contractor• indicating whether the structure will be moved in one or more than one section. (In the event it is moved in more than one section the building permit will be conditioned to require inspection of the structural repair at the new site before it is covered.) The 'moving contractor will also indicate in this statement that he understands he must obtain separate permits from the Department of Public Works to move the building. Preprinted copies of the above two statements will be available at the permit counter and should be given to the applicant when he picks up the permit application form.. The signed statements should be attached to the Building Permit Application package when it is submitted by the applicant. If the building is being moved from a site within. the Tukwila city limits a demolition permit also will be required. The demolition permit will be in addition to the building permit and will be handled the same as any other demolition permit. ' as an,ton. Inc. ORDER NO. c7q 5 IMPORTANT: This is nct a Plat of Survey. It is furnished as a convenience to locate the land indicated hereon .vitn reference tc streets and otter land. No liability is assumed by reason of reliance hereon. PO 1 13 ins 146774. U. h 4'4.4 J\ D, J\S t T Ac - S I"1 4 64.4 44.4r 60 6 0 5 130 70 70 130' /!o 130 �r. aas /7 110.8 its ri8 iN 004003 0 RECEIVED CITY OF TUKWILA SEP 1 PERMIT CENTER PRE -MOVE INSPECTION 1 PROJECT: R oze1& , G RE( Address of present location- _ 2 1544 .L � -► t eS Mo t ut Address of proposed relocation site- y1P• 2" AN, S. 1) Exterior condition of structure- pp, wr Ft ffiLA A- 60 PF1. r vtiCS 2) Type and condition of any bu4ding appurtenances (porches chimnleys, exterior• stairs, etc.)- No�� G 4LAG..iz Nl-��vs T, i- v t vA.79 TO 7/ 6140 of ,(yowse DwE7 Ta Leff c-4 01T'LO,JS . Ss cd 3) Roof condition and type- -p &i„u►sGl.o 4 wn 1, 4) Type of roof system (stick frame ra trusses, skip or solid sheathing, size of r fters, etc.) 2_444 r�� ,a sTtck- (--tAt 2 C,€LLttJG .1a� � 1 3 _ " t 0-1"1- A1".4'14. 2- S C�c.An1C, Joys 11\) G . 61 -cerS 7 v A13Ct • Nor I' YL cave; 5) Type of foundation and floor supports- S RdOTt tiG A . fir¢ s a3 rIt ( L X G) w t2k i + Cz 0. 6) Current heatsource elect ic, gas, oil, etc.)- d l i 4A/i1C L r) a c f LACc ) 7) Type and condition of any visible electrical wiring - Nl .. 8) Location of any existing smoke detectors- owe 1W Nx1.4.40''f 9) Code complying fire separation between house and attached garage No . Sere o1.1 Wnu.. is I (2 1 10) Location and type of windows or other glazing - rnhs , a, boa- IhkstAvATEP. oT6o , wA iJ ws MA' () N Icx.►3sv - . c$ G LA-33 g•('$ [.Iklc STOK -ham WhNOow'S , e L4 OK Sdk JD .e.se ea7,1)4C 11) Location of attic and crawl space access- .� ••— 1fJ . ` ).1‘514 F01.4t4O(VrtoTJ WtLl. tvWEN? A DOS-1r1— TO A- Cc() 1N4 01+1 T11% P4'ctALI1b& MMTto 12) Adequacy of attic ventilation- sc T �rn .r.►�G� is vn 1t -INYN Z ; ,moo JACia. toT N CNVS- LA.PrCE`. 13) Type (s) of insulation (if any) - ? t Gam""" -, Aloof • 14) Signs of insect or rodent infestation- 013 15) Is building moveable in one section? $ (3/3 CN INNI '`1 5 TR. 4 ^.(na~ta - ( c, FtC rear.) er Tt C1 ver,tr. c v'DA1L \PNG CiitNT ACTO 9 FOR OFFICE USE ONLY PERMIT # ST �A1 1 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. 1 further understand that I must obtain a separate permit(s) from the Department of Public Works to move the building. rn u i v-en.S /0 Cont • or's Signature Date " )7/In m --. 110 C WA State Contractor's License Number Expiration Date NE ;'S ST TE ■„ 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. r. FOR OFFICE USE ONLY PERMIT # ENT MOZEK "GREG 13710 S. MACADAM TUKWILA 'WA NAME *ID ,.ADDRE•SS.rCH}ANGE i.NOTIFICAN KING . COUNTY ,',F,.INANCE ;. 609 'KING'COUNT'Y'ADMINISTRATION BLDG 500 FOURTH.AVE: 98104 REFERENCE PROPERTY TAX ACCOUNT: LOT 17 BLOCK 7 N 60 FT OF S 120 FT LESS CO RD 98168 00400.0- 094.6 -09 THE NAME. AND ADDRESS (MTHE. KING COUNTY REAL PROPERTY TAX ;RECORD. FOR THE ABOVE PROPERTY TAX ACCOUNT HAS BEEN CHANGED TO THE NAME AND ADDRESS "„ SHOWN ABOVE, THE ABBREVIATED LEGAL DESCRIPTION ON THIS ACCOUNT IS: ADAMS HOME TRS IF THE NAME OR• ADDRESS' ,5H,IWN ABOVE IS.. INCORRECT.., .PLEASE .RETURN THIS FORM. WITH ANY CORRECTION NOTED IN THE ENCLOSED ENVELOPE. IF THE'LEGAL DE- SCRIPTION INCORRECT. PLEASE RETURN THIS FORM AND ENCLOSE A COPY OF.THE LEGAL DOCUMENT WHICH PROVIDES THE•CORRECT!DESCRIPTION. FIRST ,HALF TAX. MUST BE :'P.AID BY APRIL 30TH OR THE .• ENTIRE TAX. . BECOMES 'DE. LINQUENT AND ACCRUES ANNUAL. INTEREST 12y, 'PLUS ADDITIONAL PENALTIES AFTER MAY 31ST. : SECOND"HALF TAX BECOMES DELINQUENT AFTER OCTOBER 31ST.. OUR 'RECORDS. SHOW YOUR CURRENT-YEAR TAXES ARE PAID. YOU "WILL NOT'. BE BILLED.. AGAIN. UNTIL' NEXT YEAR. • Telephone: 242.9547 CITY /44 DATE: I�X� //g, c W ater 2rici no. d25, Jn Country PHONE:079 /- 21 ADDRESS OR APPROX ADDRESS : /4c/7 3 el LEGAL DESCRIPTION: LOT 11.BLOCK: ADDITION: PROPOSED USE P.O. Box 88147, Riverton Hts. Br. Of lice: 2849 South 1501h SEATTLE, WASHINGTON 98168 FRANKLIN PEARSON Superintendent ANN WILSON Office Manager TO BE FILLED OUT BY WATER DISTRICT NO. 125 1 t SIZE OF MAIN SERVING SITE IS 1 C) , INCHES. MAIN IS i b FEET FROM THE SITE. r� THE NEAREST HYDRANT IS APPROXIMATELY 1 FEET FROM THE SITE. THERE IS. APPROXIMATELY /000 "" .GALLONS PER MINUTE. SINCERELY YOURS, RECEIVED CITYOF .A OCT 2 6 1992 MOAT CENnift r•• yl.vv.t uva G el Department of Health and Building & Land Development with information necessary to evaluate development proposals. o no wri a in is ox number APPLICANT'S NAME PROPOSED USE M Building Permit ❑ Preliminary Plat or PUD ❑ Short Subdivision 0 Rezone or other LOCAT ION A77:144 C KING COUNTY CERTIFICATE OF SEWER AVAILABILITY /f/1b2 ,E / � NO /t(0- / !I ?» AIAS ' (Attach map & legal description if necessary) SEWER AGENCY INFORMATION 1. a. 3 . a. Sewer service will be provided by side sewer connection only to an existing (or size sewer 4' 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). feet of sewer trunk or latteral to reach the site; and /or 2. (Must be completed if 1.b above is checked) ❑ (2) the construction of a collection system on the site; and /or ❑ (3) other (describe) a. © The sewer system improvement is in conformance with a County approved sewer comprehensive plan. OR b. U The sewer system improvement wild: require a sewer comprehensive plan amendment. The proposed project is within the corporate limits of the district or has been granted Boundary Review Board approval for extension of service outside the district or city. OR b. Annexation or BRB approval will be necessary to provide service. 4. Service is subject to the following: a. Connection charge: - TD $E l a. ;oft Tto6J 6. 14 Vet P /4140 b. Easement(s): '4 730. Q c. Other: I hereby certify that the above sewer agency information is true. This certification shall be valid for one year from date of signature. F279 VAL VUE SEWER DISTRICT Agency Name RECaVED MANAGER CITY CF TUKWILA Title 001 PERMIT CENTER name Pleas eturn to: BUILDI& LAND DEVELOPMENT 450 Administration Building Seattle, Washington 98104 '206.344.7900 T. J. MATELICH gnature # # # Signatory Name Date FILED FOR RECORD AT REQUEST OF WHEN RECORDED RETURN TO Name Builders Escrow Inc. Address 6,5J& Southc' enter Rlvd !t1 City, Stute. Zipwila, Wa 98188 escrow 112811 Date: Seller: Seller's Address: Purchaser: Purchasers Address: Real Property Legal Description: h/N&- 6), 7�X A/0, 0 0 it? 000 7 q,4- 09 Personal Property:• Title to he Conveyed: Form of Deed: ' Title Exceptions (include leases): Z66I 9 Z 100 YINOVU. REAL. ESTATE CONTRACT (LONG FORM) I. SPECIFIC TERMS 'DOS SPACE PROVIDED FOR RECORDER'S USE 4038 South 158th Lane Tukwila, Wa 98188 Greg Mozak, a single person A. PARTIES, PROPERTY AND PURCHASE PRICE: August 17 .19 92 Susan Andersnn, en unmarried person Adam Tukwila, ,Wa 98188 North 60 feet of, the South 120 feet of Lot 17, Blo 7, Adams Home ,Tracts, according to the plat thereo rernrded in Volume 11 nf. Plats, peeps 11 in King County, Washington: EXCEPT the East 5 feet thereof conveyed to King • , 00 Nn! 477'44; LPB-45 • ding g- County -.for street widening by deed recorded under Recording No. 59,98458 None Statutory .fulfillment Deed ` WiSHINGTON- STATE DEPARTMENT OF TRANSPORTATION AT LOCATION: KENT PERMITS OFFICE DATE ISSUED: JAN 21 93 TIME: 12:00 REPORT NUMBER: NAME: REDMOND MOVERS ADDRESS: 10503 268TH AVE. NE CARNATION POWER UNIT NO. AXLES: 3 LICENSE OR VIN NO: p 1 054 0 TRAILING UNIT / UNITS NO. AXLES: 6 LICENSE OR VIN NO: VALID TRANSPORTING (ITEM): HOUSE DATES (FROM): JAN 24 93 (TO): JAN 24 93 FROM: 216TH ST ON STATE HIGHWAYS: 099 GROSS WEIGHT: LEGAL. CAPACITY: EXCESS GROSS WEIGHT: TRANSFER NUMBER: 0 OTHER: TRUE AXLE WEIGHTS IF OVERWEIGHT OR AXLE SPACING: #1: 0 #6: 0 #11: #2: #3: #4: #5: DOT Electronically Reproduced 0 #7: O #8: O #9: O #10: , WA 98014 0 0 0 0 TO: 150TH ST 0 MAXIMUM WIDTH: O MAXIMUM HEIGHT: O MAXIMUM LENGTH: SUSPENSE NUMBER: MIT NO VAUD UNLESS - IGNEO BY PERMITTEE AGENT THEREOF #12: #13: #14: #15: SPECIAL firiOTOR VEHICLE PERMIT NO: 005594 -125 OP ID: TLE VENDOR NO: 12512493 0 0 0 32 FT. 18 FT. 75 FT. HQ APPROVAL: 0 UNIT NUMBER: MILES: 0 O IN. O IN. PAY. TYPE: PERMIT FEE: FAX FEE: ADMIN. FEE: TOTAL FEE: BRIDGE RESTRICTIONS: SPECIAL CONDITIONS: FOUR PILOT CARS REQUIRED FOR ALL STATE HIGHWAYS - LETTERS OF TERMS & CONDITIONS ATTACHED MOVE BETWEEN THE HOURS OF 3:00 A.M. AND 6 :00 A.M. •• FORM 560 -002 ATTACHED READ THIS BEFORE SIGNING: THIS COMBINED APPLICATION! PERMIT ISSUED IN ACCORDANCE WITH R.C.W. 46.44.000 WITH THE SPECIFIC UNDERSTANDING THAT ALL APPUCABLE WASHINGTON STATE LAWS, ADMINISTRATIVE CODES; REGULATIONS AND CONDITIONS, INCLUDING THOSE NOT LISTED HEREON WILL BE COMPLIED WITH. 1, THE UNDERSIGNED PERMITTEE OR AGENT THEREOF, CERTIFY THAT THE INFORMATION SHOWN HEREON IS KNOWN BY ME AND IS TRUE AND CORRECT AND UNDERSTAND THAT THE PERMITTEE SHALL BE LIABLE AS SET FORTH IN RCW 46.44 110 FOR AU. DAMAGES TO ANY PUBLIC HIGHWAY, BRIDGE OR ELEVATED STRUCTURE, RESULTING FROM THE MOVEMENT OF EQUIPMENT AUTHORIZED BY THIS PERMIT ON THE PUBLIC HIGHWAYS OF THIS STATE. THE PERMITTEE SHALL FURTHER HOLD BLAMELESS AND HARMLESS AND IDEMNIFY THE STATE, ITS OFFICERS, AGENTS AND EMPLOYEES AGAINST ANY ACCIDENT, LIABILITY, LOSS, INJURY, ACTION AND THE COSTS THEREOF ARISING FROM THE CONDUCT OR OPERATIONS OF THE PERMITTEE IN CONNECTION WITH THIS PERMIT. 1 FURTHER UNDERSTAND THAT PRIOR T • ii1OVEMENT THE PERMITTEE SHALL ESTABLISH A ROUTING TO SAFELY DETOUR ALL STRUCTURES I1AVINCI IMITED CLEARANCE LESS THAN THE PERMITTED HEIG T. 1 FU • AFFIRM THAT THE PERMITTED VEHICLE IS INSURED IN COMPLIANCE WITH WAC 400.12.360. SIGNED. .I� - B C 1LI.C.:G.t2..t./.L._. SIG T E OF AUTHORIZED D .OFT SPORTATION EMPLOYEE OR AG CASH 10.00 0.00 0.00 10.00 ALIDATES THIS PERMIT AND ACKNOWLEDGES RECEIPT OF FEE PAID VIOLATION OF SPECIAL PERMITS - PENALTY: FOR FAILURE TO OBTAIN, MISREPRESENTATION OR VIOLATION OF SPECIAL PERMITS, STATE LAW PROVIDES FOR A FINE, CONFISCATION AND SUSPENSION OF PERMIT WITHOUT REFUND. NO REFUNDS AFTER THE START OF THE EFFECTIVE DATES. Transportation Permit Form1 ORIGINAL PERMIT MUST BE CARRIED ON CHECKED VEHICLE DESCRIBED BY W.S.P DATE CONTRACT BID DOCUMENTS Prcposal WA5759 $1,015.00 * * ** PERFORMANCE BOND Bond to City of Tukwila, Washington KNOW ALL MEN BY THESE PRESENTS: RECEIVED CITY OF TUKWILA PERMIT CENTER P -14 DEC 28 1992 That we, the undersigned, GREG MOZEK , as principal, and CONTRACTORS BONDING ANO INSURANCE COMPANY a corporation, organized and existing under the laws of the State of WASHINGTON , as a surety corporation, and qualified under the laws of the State of Washington to become surety upon bonds of contractors with municipal corporations, as surety, are jointly and severally held and firmly bound to the City of Tukwila, Washington, in the penal sum of (written amount) THIRTY THREE THOUSAND AND NO /100 ( $ 33,000.00"**''* ) , the payment of which sum on demand we bind ourselves and our successors, heirs, administrators or personal representatives as the case may be. This obligation is entered into in pursuance of the statutes of the State of Washington and Ordinance of the City of Tukwila, Washington. Dated at Tukwila, Washington, this 22ND day of SEPTEMBER , 1992. Nevertheless, the conditions of the above obligations are such that: WHEREAS, the City of Tukwila on the 22ND day of SEPTEMBER , 1992, let to the above written bounden principal a certain Contract, the Contract being numbered "BP92 -0330 and providing for RELOCATION OF BUILDING . which Contract is referred to herein and is made a part thereof as though attached hereto, and WHEREAS, the said principal has accepted, or about to accept, the said Contract, and undertake to perform the work therein provided for in the manner and within the time set forth: NOW, THEREFORE, if the above bounded principal shall faithfully perform all of the provisions of said Contract in the manner and within the time therein set forth, or within such extensions of time as•may be granted under said Contract, and shall pay all laborers, mechanics, subcontractors and material men, and all persons who shall supply principal or subcontractors with provisions and supplies for the carrying out pf said work and shall hold said City of Tukwila, Washington, harmless from any loss or damage occasioned to any person or property by reason of any carelessness or negligence on the part of said principal or,aiiy subcontractor or performance as specified in said Contract, and The Surety, for value received, herein stipulates and agrees that no change, extension of time, alteration or addition to the terms of the Contract or the work to be performed thereunder, or the specifications accompanying the same, shall in any way effect its obligations of this bond, and it does hereby waive notice of any such change, extension of .time, alteration or addition to the terms of the Contract or to the work or the specifications. O f CAI C;-ha Ct -erKs la - ate Qa 415 CONTRACT BID DOCUMENTS Proposal P -15 PERFORMANCE BOND (continued) PROVIDED, however, that after the acceptance of this Contract and the expiration of the lien period, and if there are not liens pending, then the penal sum of this bond, shall be reduced to the sum of THRFF THOUSAND THREE HUNDRED AND NO /100' S($3, 300.00***) (10 % of estimate) dollars, to insure against defects appearing or developing in ,the material of workmanship provided or performed under this Contract within a period of one year after acceptance; notwithstanding the reduction of this bond, the principal and surety shall hold the City of Tukwila harmless from all defects appearing or developing in the material or workmanship provided or ,performed under this Contract within a period of one year after acceptance, then and in that event this obligation shall be void, but otherwise it shall be and remain in full force and effect. It is hereby expressly agreed that if any legal action is necessary to be brought under the conditions of this bond, that the decision of the Courts of the State of Washington shall be binding. IN WITNESS WHEREOF, the above - bounded parties have executed this , 1992. instrument .this 2RTH day. of DFCFMRFR Countersigned: Approved by,: By (J'`c-i •Ti ERIC SIRKIN Resident Agent Resident Agent's Address CBIC CONTRACTORS BONDING AND INSURANCE COMPANY CONTRACTORS BONDING AND INSURANCE COMPANY By: Steven A. Gaines, President STATE OF WASHINGTON—COUNTY OF KING Notary Pt112 in an d for the.S1ate•ot'Washingto • ---Pra r0i.04•US070892 KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY, a corporation duly organized and existing under the laws of the Stale of Washington, and having its principal office In Seattle, King County, Washington, does by these presonts make, constitute and appoint ERIC SIRKIN, of Seattle, Washington, its true and lawful altorneyfn•Iacl, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver. (1) SBA guamnteed performance and payment bonds not exceeding the penal sum of $150,000; (2) bid bonds forJobs where, if the contract is awarded, the SBA guaranteed performance and/or payment bond(s) will not exceed $150,000; (3) all other bonds coded and classified by the SuretyAssocialion of America in its Rate Manual of Fidelity, Forgery and Surety Bonds (including future amendments thereto) as Judicial, Contract (excluding bid bonds), Miscellaneous, License and Permit, and Federal not exceeding the penal sum of $150,000; (4) bid bonds forJobs written pursuant to tho authority in clause (3) above whore, If the contract Is awarded, the performance and/or payment bond(s) will not exceed $150,000; and (5) all other bonds not exceeding the penal sum of $150,000. Provided, however, that ERIC SIRKIN is granted power and authority to exceed the applicable penal limit previously sot forth for any bond in an amount equal to the amount of any letter of credit, or similar security, received as collateral security by the Company as an inducement to issue the bond; and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary; hereby ratifying and confirming all that the said attorney-in-fact may do in the premises. Said appointment Is made under and by authority of the following resolutions adopted by the Board of Directors of the CONTRACTORS BONDING AND INSURANCE COMPANY on July 8, 1992: RESOLVED that tho President is authorized to appoint as attorneyin•lacl of the Company ERIC SIRKIN with power and authority to sign on behalf of the Company: (1) SBA guaranteed performance and payment bonds not exceeding the penal sum of $150,000; (2) bid bonds for jobs where, if the contract Is awarded, the 5UA guaranteed performance and/or payment bond(s) will nol exceed $150,000; (3) all other bonds coded and classified by the SuretyAssocialion of America in its Rate Manual of Fidelity, For,r.•ry and Surety Bonds (including future amendments thereto) as Judicial, Contract (excluding bid bonds), Miscellaneous, License and Permit, and Federal not exceeding the penal sum of 150,000; (4) bid bonds for Jobs written pursuant to the authority In clause (3) above where, if the contract is awarded, the performance and/or payment bond(s) will not exceed $150,000; and (5) all other bonds not exceeding the penal sum of $150,000. RESOLVED FURTHER that ERIC SIRKIN is granted power and authority to exceed the applicable penal limit set forth in the preceding resolution for any bond in an amount equal to the amount of any letter of credit, or similar security, received as collateral security by the Company as an inducement to Issue the bond. . RESOLVED FURTHER that the authority of the Secretary of the Company to certify the authenticity and effectiveness of the foregoing two resolutions in any Limited Power ofAttomey Is hereby delegated to the following persons, the signature of any of tho following to bind the Company with respect to the authenticity and effectiveness of the foregoing resolutions as it signed by the Secretary of tho Company: Donald SIrkln, J. D. Minto, John Alkire, Charles J. Fatskow and Janet K. Lorraine. RESOLVED FURTHER That tho signatures (including certification that the Power of Attorney is still in force and effect) of the President, Notary Public and person certifying authenticity and effectiveness, and the corporate and Notary seals appearing on any Limited Power of Attorney containing this and the foregoing resolutions may bo by facsimile. RESOLVED FURTHER that all resolutions adopted prior to today appointing the above named as attorne•in•Iact for CONTRACTORS BONDING AND INSURANCE COMPANY are hereby superseded. IN WITNESS WHEREOF, CONTRACTORS BONDING AND INSURANCE COMPANY has caused these presents to be signed by its President and its corporate seal to be hereto affixed this 8th day of July, 1992. , ,,,,,, = ''00N 0ING 4 "It a GOPORq�� � SEAL r,rn 4 •. .1979, • • 1 4gSHIN G� On this 8th day of July, 1992, personally appeared STEVEN A. GAINES, to mo known to be the President of the corporation that executed the foregoing Limited Power olAttomey and acknowledged said Umited PowerolAttorney lobe the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that ho is authorized to execute the said Limited Power (Attorney. IN WITNESS WHEREOF, I have hereunto sot my hand and affixed my official seal the day and year first above written. a ,�purrur „�� K� ', 6a+r F rr ' yy�i r tjn r : V •. � , .••• ,c ,,�� / NT Q , ,,,, The undersigned, acting under authority of e Board of Directors of CONTRACTORS BONDING AND INSURANCE COMPANY, hereby certlfies, as or in lieu of Certificate of the Secretary of CONTRACTORS BONDING AND INSURANCE COMPANY, that the above and foregoing Is a full, true and correct copy of the Original Power of Attorney issued by said Company, and does hereby further certify that the said Power of Attorney Is still in force and effect. 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