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Permit D01-268 - DEMPERE RESIDENCE - FOUNDATION
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. DO1 -268 Dempere Residence 1321740th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) 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 numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 74, 76, 119 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. DEMPERE RESIDENCE 13217 40 AV D01-268 , • • : • • . • - . „ • City of Tukwila Parcel No: 734060 -0901 Address: 13217 40 AV S Suite No: Location: Category: ASFR Type: DEVPERM Zoning: LDR DEVELOPMENT PERMIT (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT I5 PROCEEDING AT THEIR OWN RISK. Permit No: D01 -268 Status: ISSUED Issued: 08/30/2001 Expires: 02/26/2002 Const Type: Occupancy: DWELLING Gas /Elec.: UBC: 1997 Units: 001 Fire Protection: SPRINKLERS Setbacks: North: .0 South: .0 East: .0 West: .0 Water: 125 Sewer: VAL VUE Wetlands: Slopes: Y Streams: 1 Contractor License No: OCCUPANT DEMPERE RESIDENCE Phone: 13217 40 AV S, TUKWILA WA 98188 OWNER •SECURE CAPITAL INC PO BOX 25127, SEATTLE WA 98125 CONTACT JACKIE DEMPERE Phone: 206 - 433 -8539 4033 S 128 ST, TUKWILA WA 98168 k*********** k*kk k** kk*** k* k**************** k•kk * *k:4 * * * *•k *•k** **k * * * ** *k * ** Permit ;Description: CONSTRUCT FOLINDATION FOR HOUSE BEING RELOCATED FROM 14211 37 AV S, INSTALL NEW CULVERT IN. DITCH, IMPROVE ACCESS. **** k****** **** ** **• * * ** * * * * * ** *** Tic * * ** ** *** *** * * *** * *** * ** Construction Valuation: $ 74,760.00 PUBLIC;: WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng, Appr: LJM Curb Cut/Access/Sidewalk/CSS: Y Fire Loop Hydrant: N No: Size(in): .00 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: N Cut: Fill: Landscape Irrigation: N Moving Oversized Load: N Start Time: End Time: Sanitary Side Sewer: N No: Sewer Main Extension: N Private: N Public: N Storm Drainage: Y Street Use: N Water Main. Extension: N Private: N Public: N **************************************************** * * * * ** ** * ** **** *** * *** * * * * * * * *, TOTAL DEVELOPMENT PERMIT FEES: $ 1,405.44 *******• k* k************************* k********** k* k** ** * ** * * * * * * * * * * ** ** * ** ** ** * * *k* Permit Center Authorized Signature: -- AGest. Date: �'�' I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other state or local laws regulating construction or the performance of work. I am authorized to sign for and obtain this devel • permi S i gnat Print N ktE Date: 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. . reaw.'; A:ltVn�.t�4Pfi'..�Mi�//f.�JYr.vw +eV .+.+ I4N:[ dt3YY. i` Ve4x) IhFi� {.ryHR':L"$+.7.t•`.TA(�y.l'Ji'b �" ��uylL%]$Hr}�4I Address: 13217 40 AV S: Suite: ,. Tenant. Type: DEVPERM Parcel #: 734060 -0901 * k•k k**•k*****• k**• k*• k****** k****• k** kk*• k********* k• k k** *k * * *k•k * * * * * *•k * *•A *•k ermi Conditions: . No changes will be made to the plans unless approved by the Engineer and the Tukwi la:Building Dirvisi.on All construction ,to-Jae done in conformance with approved plans and requ i refiteri of the Uniform B u i l d i n g g;'';Code ( 1997 Edition) as amended, Uniform.Mechanical Code (1997 Edition), and Washington . "State Energy Code (1997 . Edition) . , 'Validity of Permit, The issuance of a permit or approval of plans, spO.ifications, and ;coniputations..shall not be con- ,atrued tio:'be aJpermit for, or an approval `Jof, any violation of any/ ; of` the the building code or of. any .other. ord i nance of th'e 'jurisdiction. No permit presuming to give .authority to violate'.. : or cancel the provisions of this code,Ysha 11'=-:be valid i nspect ion- re'cords, and approved plans sha ll aval.l ab i e at the idb prior to the start of any. con ' :struct 1 on T hese documents .';,ar e : 'to be maintained and avail- -ab1,e unt ;i -final inspection-approval is i " granted. CONTRACT OR SHALL NOTIFY PUBLIC WORDS i'UTILTIY INSPECTOR GREG'; VILLANUEVA @ (206)433-0179 , ;OF COMMENCEMENT AND OMRL,ETION-. OF WORK AT. LEAST;'24 HOURS '.IN ADVANCE. CITY OF TUKWILA empo,r,tary ; erosl,on control measures ,s6a11 be,impXem"ent"a . he f l rst order : of business to p sedl.mentati on' o ff -. site or into 'exis;ting storm drainage facilities :.The site t . s'ha`ll, have permanent . erosion ?contro l measures i place a_s'`soon as poss.ible after'�fi.na 1 + 'grading has'' been ;compl ete'a nd;:° pr i nor . t'o' the Final , I,nspect FROM OCTOBER. 1 >'• THROUGH APRIL 30, COVER ANY SLOPES'-AND :STOCKPILES THAT ARE'? 1V OR 'STEEPER AND ,HAVE A VERTICAL RISE OF 10 FEET•.. CSR MORE' ; AND '.WILL,,BE UNWORKED `FOR GREATER THAN 12 HOURS' DURING` `THIS TIME:. PERIOD ..C OR , MULCH ;OTHER DISTURBED `AREAS,. IF THEY,; WILL; BE ANWORKED-2MORE THAN Permit No: D01 -268 COVERED MATERIAL MUST BE TOCKPILEO` ON SITE AT THE BEGINNING OF THIS PERIOD. INSPECT AND MAINTAIN THIS STABILIZATION WEEKLY AND IMMEDIATELY BEFORE, DURING AND IMMEDIATELY FOLLOWING STORMS. FROM MAY 1 THROUGH SEPTEMBER 30, INSPECT AND MAINTAIN TEMPORARY EROSION PREVENTION AND SEDIMENT AT LEAST MONTHLY. ALL DISTURBED AREAS OF THE SITE SHALL BE PERMANENTLY STABILIZED PRIOR TO FINAL CONSTRUCTION APPROVAL. Status: ISSUED Applied: 08/24/2001 Issued: 08/30/2001 A4Atti • 4,:t 1 ;house. :f. • ;Any• Material spilled onto any street shall be cleaned up immediately. • Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector. Traffic Control Plans shall be submitted to the Inspector for prior approval. A.minimunm 12" concrete or ADS N -12 pipe shall be installed under the driveway at the existing drainage ditch location. Access shall comply with City residential standards. `Acess width shall be a 10' minimum and 20' maximum. Slope . shall be .a maximum of 15%. Turning radii shall be a minimum of five feet. PAVE OR INSTALL ECO- BLOCKS, AT THE ACCESS, FROM THE ;PROPERTY LINE FOR 20' ONTO THE PROPERTY. ;ASPHALT PAVE FROM ;THE EXISTING EDGE OF PAVEMENT TO THE PROPERTY LINE. r' The City of Tukwyrl`a has an undergr;ondi ng ordinance-requiring the power, t1ecomrnunications, and..'cable service lines be underground from the point of connection on the pole to the . rL e y ce,rt i =�f hat y. t, ' I: hav ,read these ;conditions and''' w.i 1 1 comply 1th : them a61. ined A1'1 provisions , of law and . ordinances governing his work ;wri be:compl;i0.,with,,`whether specified herein or not ..: he ,g ran t ing of this permit ..do not:: presuine to give authority io o ^ i.ca.nc el. the provisions of any other work or local :1"aw egul,atir g construction car. ..the perfo rnance of..;work;_. doc: Conditions City of Tukwila Parcel No.: 7340600901 Address: 13217 40 AV S TUKW Suite No: Tenant: PERMIT CONDITIONS D01 -268 Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Number: D01 -268 Status: ISSUED Applied Date: 08/24/2001 Issue Date: 08/30/2001 1: A minimum 12" concrete or ADS N -12 pipe shall be installed under the driveway at the existing drainage ditch location. 2: Access shall comply with City residential standards. Acess width shall be a 10 minimum and 20 maximum. Slope shall be a maximum of 15 %. Turning radii shall be a minimum of five feet. PAVE OR INSTALL ECO- BLOCKS, AT THE ACCESS, FROM THE PROPERTY LINE FOR 20 ONTO THE PROPERTY. ASPHALT PAVE FROM THE EXISTING EDGE OF PAVEMENT TO THE PROPERTY LINE. 3: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 5: 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 provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 6: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any con- struction. These documents are to be maintained and avail- able until final inspection approval is granted. 7: CONTRACTOR SHALL NOTIFY PUBLIC WORKS UTILTIY INSPECTOR MR. GREG VILLANUEVA @ (206)433 -0179 OF COMMENCEMENT AND COMPLETION OF WORK AT LEAST 24 HOURS IN ADVANCE. 8: 9: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 10: FROM OCTOBER 1 THROUGH APRIL 30, COVER ANY SLOPES AND STOCKPILES THAT ARE 3H:1V OR STEEPER AND HAVE A VERTICAL RISE OF 10 FEET OR MORE AND WILL BE UNWORKED FOR GREATER THAN 12 HOURS. DURING THIS TIME PERIOD, COVER OR MULCH OTHER DISTURBED AREAS, IF THEY WILL BE UNWORKED MORE THAN 2 DAYS. IMMEDIATELY FOLLOWING STORMS. 11: Any material spilled onto any street shall be cleaned up immediately. 12: Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector. Traffic Control Plans shall be submitted to the Inspector for prior approval. 13: The City of Tukwila has an undergronding ordinance requiring the power, telecommunications, and cable service lines be underground from the point of connection on the pole to the house. 1;4 Rev #3 Applicant shall consider the future' need fora catch basin at the ditch end of the drain pipe, in case the ditch is piped and enclosed in thefuture. I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. Printed: 01 -24 -2002 :q :irla:;rs's�'r1 41:4.+?i05`R±74d. ".'uns+:4%, ` S.Vti,orita+P+r'. doc'Condit ons City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. D01 -268 Printed: 01 -24 -2002 Project Na e • ant: (� t.- zE \ \DE. ka Value of C9nstru ti / Site Address: City State /Zip: Tax Parcel N�m br: Property Owner T \\G, 1_- - sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Phone: (f et' s z J N a cc Street Address: 4 0 33 S-1 \ �." City to /Zip: s �v�C 1 Fax #: 20 -� c\---SS 1 L z Contractor: S 6 e Qr , \ Phone: w c Street Address: City State /Zip: Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: Contact Person ` t'"_ 1 . �(1 1 jp�t? ��-- PI ns G f e) Std s, ` (7. \ ` 'ty State Fax #: Description of work to be done: 1 0 '-O r0 )'t, IN \\ 0 N . Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence ❑ Interior Remodel- Single - Family Residence ❑ Residential Accessory Structure* Cl Remodel /Addition to Accessory Structure ❑ Garage(s) ❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof Is this site served by: Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722) Existing Square Footage for Structure: 1 7 nn sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s) sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck Floor Area Ratio: (total floor area of all structures divided by the area of the lot) *For an Accessory dwelling, provide the following: Lot area Floor area of principal dwelling Floor area of accessory dwelling * Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence. CITY OF Tl y WILA Permit Center 6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188 (206) 431 -3670 SFPERMIT.DOC 2/13/97 OR STAFF USE ONLY Project ivumber: Permit Number: Single- Family Residential Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. PPLICANT REQUEST FOR PUBLIC WORKS. SITE /CIVIL PLAN: REVIEW OF THE FOLLOWING:: ;(Additional reviews shall be determined by the Public Works Department) . ❑ Channelization /Striping ❑ Curb cut /Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Flood Control Zone ❑ Hauling ❑ Land Altering: 0 Cut cubic yds. 0 Fill cubic yds. ❑ Moving an Oversized Load: Start Time: End Time: ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Permanent # Size(s): • ❑ Water Meter Temp # Size(s): _. Est. quantity: gal Schedule: ❑ Miscellaneous Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re- viewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall ex- pire by limitation. 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 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date application accepted: I Date application expires: 211 • Appll • ken by: (initials) 1, PLEASE SIGN BACK OF APPLICATION FORM BUILDIN a \• WNE OR.AUTH • • I } AGENT: Signature: ` . C .,�� ... V� • ` Date: QQ ,� 2 ,__ 0 l Pry ; V Phone Fax #:, �^ - 4 '-"\-- . ..s._ASLc- C',...AN C q) ‘ k- ALL SINGLE - FAMILY RESIDENT; PERMIT APPLICATIONS MUST B BMITTED WITH THE FOLLOWING: DRAWINGS PREPA ED BY M REGISTERED ARCHITECT OR PROFESSIONAL ENGINEER MAY BE R 4,11 LD 0y: t } BUILDING OFFICIAL ALL DRAWIttGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED WA SUBMITTED ❑ ❑ Copy of recorded Legal Description from King County ❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department (206) 433 -0179 for servicing district. ❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433- 0179 for servicing district. ❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12) ❑ ❑ King County Health Department approval for septic - 296 -4722 Four (4) sets of working drawings, which include: ❑ ❑ Site Plan (see example Form H -16) 1. Existing fire hydrant location(s). 2. Proposed access road. 3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over 150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741). 4. North arrow and scale. 5. Building setback from property lines. Any proposed or existing easements must be shown on plan. z 6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width), show proposed and existing power, water and sewer lines, existing storm drainage system, downspouts and foundation drains, and where drains tie -in. 7. Parking plan. -J 8. Lowest building elevation (if in Flood Control Zone). c o 9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level. w = 1 0. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers. u_ 11. Identify location and size of significant trees that are located in sensitive area and buffers or the w 0 shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code). 2 12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the g high water mark. 13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form = H -9). z ❑ Foundation plan and details z o ❑ Floor plan g ui ❑ Roof plan v N ❑ Building elevations (all views) o E- ❑ Building height = w ❑ F- — Building cross - section o ❑ Structural framing plans and details necessary to completely describe construction w z 171 Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available o H � at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6. ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception, Variance, Shoreline or Tree Permit). ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance and other land use or SEPA decisions. ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval from the King County Health Department or the Tukwila Public Works Department prior to submittal of permit application. ❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Building.Owner /Authorized Agent. the applicant is other than the owner, registered architect/engineer, or contractorllcensed ., py 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'reiquired;as partof�this :submittal I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED,TO'APPLY FOR THIS PERMIT. SFPERM1T.DOC 2/13/97 �r•.:•.,K: ?�'u.�^+. . -[ Yf4}.+:?+'% xa� .+.:- , �v,arrz...ao.�ryrreraa„� sue._, *% * * * *.: * * * * * *,A'4, % , : * ** * * *i4 * -* *s1 •: * * * * * *, * * , t, .1t•.!: *.* * sib * * * * ** V a ruicwIL WA • ar?pr" n d a: 08230/00 12 4/ TRANSMIT * * * *1e 4. %%1 s * *>E: *` * *,i * ** *;F * *** *"si *** ** * * ** RANBMIT : •Number : R0 Amou 873.2 03/30/01 "12;44 !> ayrrrer4 .Methiod ',CHECK :`Notatj n: DACKI : - HiPERE .I,re it: . 51 'permit, it, No. D01-2 Type: DEVPERM DEVELOPMENT PERMIT `P ar;ce1':.. No:: 73406 - 090..1 ite Address: ; 13217 40 ,AV, 'Total Fees; 19.405.44 is;'Payment; '873.25 Total • ALL Pmts: 1. ., 4() .4'4 • B ai ance,: . Ott ,. ********** * * * *� * *' * * * * * * *+ * *a• * * * * * *i4. ** * * * * ** * * * *i* * * * * * * * * * * * ** a ccount :. Cade ` Description Amount: 001345..830 PLAN. CHECK NCMRES .532.19 00 /3 .i00 B6IL1?TNG RES, 81 8.75 • p134 r. $3o 'PLAN CHECK .--,RES 532.13' 10023'45.;830 PLAN CI4ECIC ' :y UTILITY 20..00 0.0023,E36.904 ' STAlE„' BUILDING SURCHARGE 4.50 00/3,42.:400 ; INSP FEE - UTILITY'. 1.5..00 1 23.42.400 ' INSP IEEE - STORM DRAIN .15.00 ? y: �F: �t. rj/ P. 7l t, �.l .i��falGl�_�'_�.ltl,lP'lli..'' ..v:� �,..J.,._r `t s4 * * +b k �• *' * * fi 4•. I. *' * * * * T TY- OF TUK liL A; W( :: �+1' ;tltt4* *t4t4**** tt *. *'s4tkt4tl' * *tttt' zk* t1 *t4 * * * * . * *t4 +t * ** ***s * * ** * #* r *** . T AN MIT numb � °� Rt 1 0:1101 f6 unt;: • , 532.1..9 • 013/24:01 1 :4 Pymr`.ifi. Met;Mq:d„ ,'CHECK. 3o.t at i.on.0 �`1 t1CKIE L. DEMPERE Ir► itt:, �LW P r`mit; No» D01 $ Type: t}EVPERM DEVELOPMENT PERM7:Tr f?.arc.el 1l�or '7.3400 0`01 5 tip Add.r`e 1;3 1'7: 40 '(V 5 Total Fees: (1.L. Pmts 1r�c�s 1323." tl * t4 * # tt tt * * * *fit* st ir.'>k �r this * * tt * i�' t1 s4 * * * tt >E tl is ti .* t1 * * * :*4 s1 it tk * >t * ? Pe ;4 tk * * >ti tt die ant: Chide De s c:r� i pt i on ' ` , :Amount PLfl�t, CHECK -'. 'NONREr. INS ON NO. Approved per applicable codes. INSPECTION RECORD Retain a copy with permit ITY`OF TUKWILA BUILDING DIVISION 16300 :Southcenter Blvd. , #100, Tukwila, WA 98188 (206)431 -3670 Pr ect: 2y��y fiftes, mfe Address: 5 Special Instructions: Type of spectio : Date Called: Date Wall %02 Phone N 33- 853/ COMMENTS: El Corrections required prior to approval. $47.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: u .'iin3L.! 4'1 . $�fq} +iG i'•! r} i q+' �a! r abQl '�Y�t��%S•�uG�+Y.4�t��i:iiYi P ect:. Type ns ect' ddress:.:.: L 11Q17 1 0 .fir . s Date Called: i . /0 - l D 2-- Special Instructions:. .. Date Wanted: � — I — `'' it i � ; Requester: (CCLiC " Pho a No: No fob - L/33 -S5.3 f ('+ i'} �" :nwi.{'K +Lrd� d*'�Yhi ?x .ra er, eii?+CH 4cY v'' '�` {-t'd gocs lV4Ys > e; :. + •.{ acs r. etS v,+."� ` #i + INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. ; ITY.OFTUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 COMMENTS: 1 y )9 4' 4 ) /./ proved per applicable codes. Corrections required prior to approval. $47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at $300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: _ Z � W. 0 0 W = U) w Q ` ( 1 1 w 2 Z O I—` uj 0 N Ww U ' IL 0 . LLI Z U N O Z Pr ject: aClr'e �Y Type of In e ctio n: d dress: l3 / gal/ 4 V e S Date Called: / 0 / 2 / o a - S p e c i a l Instructions: Date Wanted: a.m. Requester: G l`dU Phone I ff6y.d 5'''? -7 /3 3 - g5 tie Y�: k� ltlne':+it.:=3rce�1c:�':oy�4.: ASS. vi�esa "+'µi`tb'•::Cti4�s,�iw�*;:�F,i� tY�4: sJitV 'Sk5!?A}rt£:`�� ".fD,kaS�$uC z ,kt ;;;+;ci a`.441Wlia,z.X14;4 4 14;74'' :c?.,ss • INSPECTION RECORD Retain a copy with permit INSPECT N.NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El Approved per applicable codes. PERMIT NO. (206)431 -3670 Corrections required prior to approval. COMMENTS: 1 Rig 6(1' r) cs.._ ; ... �� - -. //1. e ; � $47.00 REINSPECT N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcentpr Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: • u6 J U UO t N 0: w= J F"' CO u, W O: 2 g ?. N C! Z z o O N; AU • H U u. . Z' • U= O • z Pr ' ect: p g Type of Inspection: cc �AJ A dress: r ,,, // /3 2-/ 7 Leo /�. e 5 Date Called: /b/ t4/ z Special Instructions: Date Wanted: a.m. ` p.m. Requester: Phone No: .L ..N. i>6;114i , : aelf✓ :: ' /JP ti :. W "``�t3ti;�"4iatw fait` edki " s+r+iax,�:�,i,�taEiv= >'tva; INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. COMMENTS: 114 iiCeej asualtt /V ‘149cA v�. .P G -te w4 0 � ° - // �,�.o 66 ,vim iD, l7d,L Inspector: Date: $47,00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Corrections required prior to approval. • � �U UO . w = Nu. w O. 4 LL Q • 3, - a I— _ Z H O :. Z U0 = tL 1 ' O . co , O - .. : 1 ' Z Project: j)/) le esI( Type of Inspection: C'c✓4 S Address: 7-4 1,30/7 : ; fli es D Called: 0 -V.Pyl Special Instructions: i Ue ' `� " .. Date Wanted: � /D a. i. Requester .� cK i e t'leni Per C. Phone No: (?) v33 - a5 39 Approved perapplicable codes. INSPECTION RECORD Retain a copy with permit 01 INSPECTION NO. CITY OF •TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PERMIT NO. El Corrections required prior to approval. twig COMMENTS: 6 z. �A y� 0A-c,04 I 1.t 1 /U 1 A4A-4) Inspector:, . by Date: ‘0570), $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at b300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt No.: Date: a, 41: 0.:i;l1.1::t,:Y d: iib;ta:43; U ::f� #,1:4 Project: e e Type of Inspectio 1...) AddrZsss: /r Vo ,1) S Date Called: o9/it /_La Special Instructions: CC4C , k be S 1 / _' 1 J1c in �-p c t Date Wanted: a.m. /!l �( 0. Requester: - U UC /(l icer-C Phone No: (o (,) .5SO - , Sg (ce/r) INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: I'. :tit , ' q l a I0,1 Obtcd ,U4tkink4-A (1, 0 ?c CAA r4uA. (AO Inspe '■ .„L it;12,31 40 /10,/knA eter -7 ). ) Nct5A ctuakk Date: t t -L or: 11 Ala $47.00 REINSPECTION F E REQUIRED. Prior to inspection, fee must be paid at b300 Southcente : Blvd., Suite 100. Cali to schedule reinspection. Receipt No.: i Date: SC�ih ?i , , 11)raa'x4aaY:iti ,ItaX.,). r.'A )t..4 a stvi 4. �1:0�;1 ;�Yus�!:�i�A .t »'^.3� -'u .a. „SM fi: >�:r1` c4114. . i?ax .'. 144).4)4:..'r'2i.v . a: •)■'i 1 FINALAPP.FRM City of Tukwila Approved without correction notice Approved with correction notice issued Retain :;current. inspection. .schedule Needs shift inspection Sprinklers Fire. Alarm: Hood & Duct: Halon: Monitor: Pre -Fire Permits: TUKWILA FIRE DEPARTMENT FINAL APPROVAL FORM :-. ;,','�j:t:.: .,Y�i4' %rm47.1 , rc y.- 7 i n,. lb" Permit'N Authorized Signature Date Rev. 2/19/98 T.F.D. Form F.P. 85 gs Steven M. Mullet, Mayor Fire Department Thomas R Keefe, Fire Chief Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: 206 -575 -4404 • Fax: 206-575-4439 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188•.' Project Address: 3ZI7 ("at R S. Special instructions: Type of Inspectiori: Date wanted: Requester:' • ;, ; "� • Phone: Approved per applicable codes. COMMENTS: �Z. d bu m 11!L bid 5 7 71-ah-d/ ■11- frte. S0!.uJ..c.4 Inspector: Date:. . 51 Ell $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid.,; at 6300 Southcenter Blvd., Suite 100. CaII to schedule . reinspection. Receipt No: Date: INSPECTION - RECORD Retain a copy with permi Corrections. required prior to approval: 4 ;i4r,t4r..a11".2> 23tV: :. ° '!%qtr : a r. f.Itt 4' r;.sl a4, 6* Fi i4S Sz^?.�xAi iC i^ Ji!i r; LA INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila; WA ,98188' Address: 13/17 Li TL A S . Special instructions: Type of: Inspection: Date called: 3D Date wanted: Requester: 0 Approved per applicable codes. COMMENTS: +/34 0Z t C' ad P Ca1-RA. U-ArV te c 0 : �l ',, /c.)7, t?r (4 i 111(1V ! L c n c,.Q - 2 o r PVC! .512 Prt ; 0 .ee, Inspector: Date: s j Jt Ei $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection4: Receipt No: Date: f% Aiw:(<< t:' n "ilt`n4k,2w.iis:i;?�:as�::l�i 14 rWM:ow:dl:Sbw.N�f�JX%{'l+':ee .� R 1 4MfikjlkhUe .le Va . 44iTt;'etiU. +'h. $c, ,'T a ?i1 ,&Tte ra:Si ' kti 'r.;;4:�3 trl&tais '4iM Skl-kgiFr ilckt«h.' +e,fe,1 ..V.,! '.b.:�.%k..y 1 :`;' 1 1 1 c , Corrections required approval.: (206)431 3670 ..h COMMENTS: C Z) / / 2 :ri --). )1/ .S - [!t,'/ ..1 7L ,p -✓` 7 4.._ ' -ice G — � .- f' c 07L 7` ,tea! 2 1.:5v are AI G i `n./ 0 /'..¢ - t -t L S / oere ' - A We Ar; , vvv S 71 a -"'," c - icbve- &" 444 s ay-- -...57n4 IVIP -V p 2, l ! 1 ,7(c),- V., ' . Reques r:: / 1//1-CAL-1 C_ P ne: INSPECTION RECORD Retain a copy with permit INSPECTION• NO, ;. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd; #100, Tukwila, WA 98188 Approved per applicable codes. PERMIT NO; (206)431 -3670 Corrections required prior to approval. k Spector: uaie: 7.00 REINSPECT! N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Ivd., Suite 100. CaII to schedule reinspection. Receipt No: Date: +: x S� l:,7 fegaAttek.nEt .WturnValariglat4Nkt..4... s AiL xt" 2-1'; • :Sv; ,'.? '�!n:Y�.n`bh.it:.vaEi -;w W ; 6 U0 ' I u, 0 W Iwo g Q 0 a w Z � 0 - Z 1: ICJ j U 0 'O N 0 1-- ILI r g U. O W Z U 2 : 0 Z INSPECTION RECORD Retain a copy with permit INSPECTION• NO, ;. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd; #100, Tukwila, WA 98188 Approved per applicable codes. PERMIT NO; (206)431 -3670 Corrections required prior to approval. k Spector: uaie: 7.00 REINSPECT! N FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Ivd., Suite 100. CaII to schedule reinspection. Receipt No: Date: +: x S� l:,7 fegaAttek.nEt .WturnValariglat4Nkt..4... s AiL xt" 2-1'; • :Sv; ,'.? '�!n:Y�.n`bh.it:.vaEi -;w W ; 6 U0 ' I u, 0 W Iwo g Q 0 a w Z � 0 - Z 1: ICJ j U 0 'O N 0 1-- ILI r g U. O W Z U 2 : 0 Z Zroject: I DerfeiP, gesiden ex Type_ of Inspection:" {i 7L/ '79 c Address. 13R1.7 '/o Air 5 Date called: ,./ _ 7-/G - 02 Special instructions: . . t ate wanted:. Requester: JA egle Phpne: ail Wi-g- 7 • INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431-3670 $47.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Approved per applicable codes. 111 Corrections required prior to approval. 7 0 ol",e7e _5 ) ,COMMENTS: r•-• • Inspect v Date: ti > te.77 Receipt No: Date: • • • ••• • , •••• • • - • ‘;,•4 •• ••••.• • 4 t•i• 1•• z • z, w 0. re 2 O 0 (a0 mu.c CO U. w 0 g Y D a I— • ILI Z I— 0 Z I- 0 0. • 0 T •C) W • () Z w C.) — I= I' 0 Z _ \ .1.•3:...1'. +u .l�:. r- lEfJ++ .:( '�4:S:. M'axtl>w.t i fv�.l�i.' {��y : {nL�)`1. 1Ye(i�<a + }(.EM: ^�Al li4e�1 .v14. ±l. 41.4. lY0146;i 144414,4x. MII( 4 C'14i INSPECTION RECORD Retain a copy with permit INSPECTION NO ITY: "OF TUKWILA BUILDING DIVISION 300Sotith Blvd; #100, Tukwila, WA 98188 Inspector. 44J-4 Project: Address:..': Special instructions:: of Inspectio \ O(C fl r Date called: `. ( C� 2 --- p.m. Date wanted: Reqyester: Phone: Appro■ed.per.applicable codes. Corrections required prior to approval. 'Gl ` t flv� . F0c1 - \ - ■ vki nam vvo4rn � r Ot<^ C if' UJ YG! Y1 � Chi( v tied Date: 1 H. _ c) 2 $47.00.REINSPECTION .FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Date: Receipt No: Project: ,- ott4tpere, Type of Inspection: 1111 Sc - Re licutiof gad Address: ,. 13,20 go AV, &). Date called: „ ,, l Vol. Special instructions: . 44240Vid..,,/te Wititi.i +0 videttui biid Date wanted: I — 1 4 — cl, . p. J Requpsterk . Dedivywu..... Ph2 3 INSPECTION RECORD J tog Retain a copy with permit • INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 9818 PERMIT NO. (206)431-3670 El $47.btT EINSPECTIO E REQUIRED. Prior to inspection, fee must be paid , . at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Approved per applicable codes. Corrections required prior to approval. COMMENTS: " '1.4- C-..• / {v7-7 scab., ‘44-t /: "76 coeile:40 e • eff,A •■■ Date: Receipt No: Date: IagualieatUe.', . „ „. • ;, ; . :,; .,:;•;4A INSPECTION RECORD Retain a copy with permit INSPECTION NO CITY Of TUKWILA BUILDING DIVISION %:.03.00:Souihceriter Blvd, #100; Tukwila, WA 98188 PERMIT NO. (206)431-3670 Type of Inspection: D c 3 rOjeCtr..7 , • ,( Address: ;' ? Special instruction ate alled: Date wantedi: r/ Phone: Approved per applicable codes. El Corrections required prior to approval. . . COMMENTS: /A : ••••••• • ,• • . • , . , • , . • • . . Date: / ;$47REiNSPECTIONE EQUIRED.Prior)o inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.' , Receipt No: Date: LU re. 6 g C.) 0 co 0 11.1 11.1 -.J uj 0 2 g u_ ( S. a F._ lu z • o z IJJ ui 2 • Q O en 0 = uj I 0 z O co ;T: 0 Z ' :INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO CITYOF TUKWILABUILDING DIVISION 6300 Southcenter Blvd, #100,-Tukwila, WA 981:: At (206)431 -3670 • `Special instructi• ns: Dat called: Phone: :Approved .per applicable codes. CO MENTS:. <: • &ie./ /7 46,177 47.00 REINSPECTIO('FEE REcUIRED. rior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt: No: Date: . orrections required prior to approval. j „ i kY�'r iXil ".7�i71 ce ¢¢ 2: J U '0 O N0, WI • I.. U LL' W }O; <c. • d H = ; Z I— 0, Z I— U O • I — u J':. Z I— U IL O • w z O 1--• •Z COMMENTS: INSPECTION NO. oject: n4 pere_. .. geStd..P.vie Q Address: 1 /1(/ 5 Special instructions: e._of Inspection: „Ike ihorz I c�, l / ma a2 ;fa ed: © ��l01 Date a e' • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit fit: a4.:, i:: Iw�i.. til5�e+:* ,5''st:':�°7= i'LS_r %y:iii:s.�:i . b.::. C:. rJ. iu:` u`: ��..:.::: •G .�r>K..:..:ri.'..:,1�i�.::'. Corrections required prior'to approval: $47.00 REINSPECTIO FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt No: Date: ,. a �:!S;t�aNa, iii.. t a: :t,c�uiaiia�.iiid"1.2. C`.wii5'xx+�:ii:l..i• : p�(xilit l.;v',;ac �,r.. /l • r: rr' i+„. tr, 5. 7: i/t fi+- 1` 5! A;, n�£. ;'d."/:i4i`w7:.'.k`;:+'„:•�:Y;: i js�r.✓«; t; 3: +LKd' }'xG�.'= :io LS. d��t Project: . i e r o. P'.1 reeadoee Type of Inspection: i ce., , , _,-, e a•-t-w..)u-za 7?0■4 7 A ress: Dr) 4 40 / 4-00c, Date called: iUlgiv( Date wanted: Special instructions: htLia2Ar) . Requester: c i ../en Phone: (P-0C-e) • 13- — g 539 • • • INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 Approved per applicable codes. D 0 i - (Q 4,() PERMIT NO. (206)431-3670 \f, cge reerip $47.00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. oval. Receipt No: Date: t.‘ c 0 m ARATE PERMIT REQUIRED FOR: MECHANICAL dELECTRICAL EifFLUMBING [GAS PIPING CITY OF TUKWILA BUILDING DIVISION 8' 0 Tr act ; " 0 f 6 17 3 0 G �G fi e 0 d ';7) JILL. COPY I understand tt►,.. the Plan Check approvals are subject to errors and omissions and approval of plans does not authorize the violation of any adopted code or ordinance. Receipt of con - tractor's copy of approved plans acknowledged. Permit No. DO' U8 � o coy PEViSIONS _ .. . CHANGES SHALL BE MADE T f; WORK AL OF .�, �� WITHOUT PRIOR SCOPE ® R A WILL REQUIRE ILA BUILDING V Y lNCUJDE mop PLAN �/I SUBMITTAL F DIVISION. 6 FE M CITY OF T i_iK'P ILA ,gyp yt•'ovo 6 " r U f , ,,► r; 7.[:4:;11 r RECEIVED ILA -L CITY OF RUO 2 a Za ©'I 4 PERMIT CENTER Q N r b yir, i�uk +.4;. +14e8 e?ics; ;,i, z" TUKWILA BUILDING DIVISION NOTE TUKWILA BUILDING DIVISION j z, 5 ?N NOTE #. fA b g-1 1 I3A - I Li 5 u rzfR '._ -- -- Ex Nc� PEa, ac+aJ F C..DN 6 -Z' - zoo I -4k2 ami/N ...Fs) ►z 12 i4-T" r 5reit? . ,, sag 6 I suer P- 6X6 H Z "' 1KWILA BUILDING DIVISIOj4 RECEIVED CITY OF - 11114 1 IL F\ BUG 2 4 200 PERMIT CENTER. A 1,giV 4 PaJii��N�; r:t z • • ice • mo • Q �: J U, 0 0: �. N w w; w 0: LL Q; cn _ d, • i z . �; Z.►- W w . � o w w` LL �° o: w z. U - Z.~ 1 O ' -O" Barg • • T I` CITY OF 1 N811% APPROVED ,UG 3 0 20 [11 S fiO T c.[) . E CEIVES CITY R OF TU&1ILA AUG 2 4 2001 PERMIT CENTER 4• C. LEI, P. i em I LIE , rG,t 7' . L� 14. , "per sp . tin.utr. A)) re B.r$# fir ( 4le, A k . ! 1„t?3 :••••= . ti IC; : 2111I0 - .z • •"‘.. c tt : OP slr• Gilateilz. 2.5 Ps i Miwim pER age. 1 SE CTION _ A-k Sc-V\ LE CITY OF TUKWILA APPROVED • f r A 9CI:t . Q ; kr re' •—••••••—"••••••• 4 14/071 o 14/Q or tv ci+eto 5E. ATM • - :1 4 1; 1, ..- . 7 t5A,C. at GRAtE _ . . ... • • • • • • ••••:6 . TY • . • . • , • - • • ^ - • • ACREVIDESTEARIzIE . • :tt . : .,, c • :' 1. wolf: RECEIVED 1, CIT: PERMIT CENTER A G -1. Contractor Plans Examiner GENERAL 07/13/99 City of Tukwila BUILDING DIVISION RESIDENTIAL CHECKLIST The intent of this checklist is to provide a general guideline for building plan review. This checklist is not inclusive to all code requirements, however, it may include more items than a specific set of building plans may encompass. Permit No. 'fi( ( — ' r; Date '� ( Z60 Phone No. • ".&6 31 THIS CHECKLIST SHALL REMAIN ATTACHED TO THE APPROVED PLANS. PLANS ARE NOT TO BE ALTERED IN ANY WAY WITHOUT AUTHORIZATION FROM THE CITY OF - BUILDING DIVISION. This list is based on the Washington State Building Code; 1997 Uniform Building Code (UBC), 1997 Uniform Mechanical Code (UMC), 1997 Uniform Plumbing Code (UPC), National Electric Code (NEC), 1997 Washington State Energy Code (VVSEC), 1997 Washington State Ventilation and Indoor Air Quality Code (VIAQ), and City of Municipal Code. Liberties have been taken with Code language for sake of brevity and readability. If exact code text is required, see referenced code sections. Approved plans are required to be on the job site in a conspicuous place along with the inspection record card until the final building inspection has been made and approved. G -2. '/ This Agency does not provide engineering and/or design services. Responsibility to assure structural adequacy rests with the building designer. Engineering calculations may be submitted for review in lieu of any structural changes noted on the plans. .-44,str0,:i;!.iY ", t::S•i= cZ1:>� s�fiJ z : re ui V . U O Cn U) W W =; J I- CO U- W O :. J u.cc = • d w . z �.. z� 111 uj U O O N; W • W p — O ui z . O , fi Page 2 of 24 G -3. Use of proprietary products (manufactured trusses, floor systems, etc.) i lieu of standard construction methods included on approved plans are required to be submitted to the City of Building department for review and approval prior to installation and inspection. SITE S -1. The ro osed construction shall not be built under or over a P P any easements or right -of -ways. S -2. /Setbacks to property lines or any buffers shall be in compliance with recorded plats and the City of '# W,t 4; Community Development Guide. S -4. S -5. F -1. 07/13/99 S -3.. i/ Building setbacks to property lines and other buildings shall be in accordance with the Uniform Building Code. Site plan shall include site contours at 2' vertical intervals. Flat lots shall so labeled. FOUNDATION Building sites shall be approved by the City of , Department of P1iblic Works, Construction Division prior to approval of building plans for such sites. atiovrep, UBC 1900.4.4. Concrete floor slabs supported directly on the ground shall be not Tess than 3 1 /2" thick. F -2. Y /UBC 1806.6. Foundation plates shall be bolted to the foundation with not less than 1 /2" steel bolts embedded 7" minimum into the concrete and spaced not more than 6' apart with at least two bolts per piece and within 12" of end. Plate washers a minimum of 2 "x2 "x3/16" shall be used on each bolt. F -3. /UBC 1806.2 & Table 18 -1 -C. Independent footings, piers or thickened slab areas shall be provided under concentrated Toads. 1— • .6 D';. U 0 ;. o: • Nw; w N L' • u. . = • I- w • z�. X0 •.z •.w wl • O • w W` xi • Page 3 of 24 F -4. /UBC Table 18 -1 -C. Footing /Foundation requirements are: 1 -story — 6" minimum wall width, 6x12 minimum footing size, 12" below grade 2 -story — 8" minimum wall width, 7x15 minimum footing size, 18" below grade 3 -story — 10" minimum wall width, 8x16 minimum footing size, 24" below grade The foundation plate shall be 6" above grade. Interior bearing walls on one story building may be on piers not less than 20 "x20 "x8" thick, or on continuous grade beams. F -5. W/ UBC 1402, 1403.6. Anchored veneer shall be supported on footings, foundations, or non - combustible supports. It shall have an air space between veneer and backing, #15 felt, and non - corrosive ties (1 for each 2 sq. ft.) Add weep holes and flashing. ww w 2 / - a. F -7. UBC 1402.4. Foundation walls enclosing basements below finished grade Z = O Z F -6. ` UBC Chapters 16,17,18 & 19. Minimum steel reinforcement. to be damp proofed. F -8. /UBC 2306.7. Under floor areas shall be ventilated by approved mechanical means or by openings in exterior perimeter walls (equal to 1 sq. ft. for each 150 sq. ft. of under floor area). Openings shall be located as close to comers as practical and arranged to provide cross ventilation on at least two opposite sides. They shall be covered with corrosion - resistant /4" wire mesh. F -9. '/ UBC 2306.3. Crawl space under floor joists or floors without joists shall be at least 18" and a minimum of 12" to the bottom of girders or shall be of pressure treated wood. F -10. - UBC 2306.3, UPC 707.10. Under floor shall be provided with an unobstructed access not Tess than 18 "x24 ". Pipes, ducts, etc., shall not interfere with accessibility. Locate access within 20' of the main plumbing clean - out. F -11. F -11. WSEC 502.1.6.7. Provide a 6 mil black poly vapor barrier lapped a 07/13/99 UMC 307.4. Crawl spaces where mechanical equipment is located shall be provided with an access opening large enough to remove the largest piece of equipment, but not less than 30 "x22 ". minimum of 1' at each joint and extend up to the top of footings. +r... „r v. w' Gt” Y�iS. Xiti�. 1* �. ww ':i:+rtii� ?e ✓.w�iia +':$ >:�:�u4', IT 4 tihiv trj j. ■g.h.i9A Page 4 of 24 F -14. F -18. 07/13/99 F -12. UBC 2306.4. All wood in contact with concrete or masonry, which is in contact with earth shall be pressure treated wood of any species, foundation - grade cedar or redwood, all marked or branded by an approved agency. F -13. t' UBC 3102.3.1 & Table 18 -1 -C. Foundations for fireplaces shall be not less than 12" thick, extend to Tess than 6" outside the fireplace wall, and extend below the natural ground surface in accordance with the depth of foundations required for the building. UBC 1912.15.1. Lap #3 rebar splices and comers 12 inches, minimum. . Splices of rebar above #3 bar size shall be minimum 40 times the diameter of the rebar. F -15. UBC 1907.7.1. Rebar must be held 3" from earth. F -16. UBC 1907.6. Rebar shall have 1 '/2" minimum coverage of concrete. F -17. /UBC 1804.7 & 1806.5.5. Provisions must be made to drain all water from around and under buildings. UBC 2306.5 & 2306.8. Columns and P osts located on concrete or masonry floors or decks exposed to the weather or to water splash or in basements and which support permanent structures shall be supported by concrete piers or metal pedestals projecting above floors unless approved wood of natural resistance to decay or treated wood is used. 90# roofing is permitted under posts located in crawl spaces. F -19. I`V_ UBC 2106.12.4. Reinforced masonry shall be reinforced both vertically and horizontally 4 feet on center minimum. Horizontal reinforcement shall be provided in top of footings, top of wall openings, at roof and floor levels and at top of parapet walls. F -20. __ ._ UBC 106.3.2 & 1806.3. Post & Pier foundations designed for structures will require a State of Washington Licensed Structural Engineer's seal except for buildings under 400 Sq. ft. which are not used for human occupancy. Page 5 of 24 FRAMING FR-1. UBC 1605. Adequate anchorage of roof or beams to columns or walls, a'rld of walls and columns to foundation to resist overtuming, uplift, and sliding shall be provided in all cases. FR-2. t i!)( UBC 708. Fire blocks shall be provided at floor and ceiling lines and at 10' on center both horizontally and vertically. co ur FR-3. WA" UBC 310.6.1. Minimum ceiling heights of habitable rooms shall be T-6". • --, I-. LU i Kitchen, hall, bathrooms and toilet compartments may have a ceiling height of ILI 0; , not less than 7'-0" measured from the lowest projection from the ceiling. .... 2 g a co FR-4. UBC Ch. 16. Girders, Beams and Stringers; size shall be designed to I- Iii support the loads as specified in Chapter 16. FR-5. ABC 2320.7 & 2314. When a girder is spliced over a support, an adequate tie shall be provided. / FR-6. UBC 2326.8.2 & 2320.7. Beams and Girders shall have a minimum end i 0 : '— bearing of 3 inches when supported by masonry or concrete, and 1 1/2" when P. 11 0' supported by wood. Additional bearing area may be required. e l i Z t) 6 1 FR-7. tlik UBC Table 2-11-B-1. Fabricated girders, if built up, shall be nailed with . . z . 20cl nails and/or bolted per approved design. • FR-8. 14 UBC 2306.8.3. Framing anchors shall be used to support joists framed into the ide of a wood girder. FR-9. N/UBC 1605.2.3. Post and beam connections Shall provide a positive connection to ensure against uplift and lateral displacement. FR-10. UBC 2318. Metal column base brackets shall be approved for the loads imposed. 1,0 Ua /6,.Vorrpqi FR-11. UBC 2317.6. Wood girders entering masonry or concrete shall be provided with 1/2 inch air space on sides, tops and ends unless treated wood is used. • 1 ; . e 2111 6 3 0 U.P.C. APPENDIX M. Washington State Amendments SUBSOIL DRAINS M 1.5 Th o Subsoil drains shall be provided around the perimeter of buildings having basements, cellars, or crawl spaces or floors below grade. Such subsoil drains may be positioned inside or outside of the footing, shall be of perforated, or open-jointed approved drain tile or pipe not less than three (3) inches in diameter, and shall be laid in gravel, slag, crushed rock, approved three quarter (3/4) inch crushed rock, approved three quarter (3/4) inch crushed recycled glass aggregate, or other approved porous material, With a minimum of four (4) inches surrounding the pipe on all sides. Filter media shall be provided for exterior subsoil piping. 0 Subsoil drains shall be piped to a storm drain, to an approved water course, to the front street curb or gutter, or to an alley; or the discharge from the subsoil drains shall be conveyed to the alley by a concrete gutter. Where a continuously flowing spring or groundwater is encountered, subsoil drains shall be piped to a storm drain or an approved water course. 0 Where it is not possible to convey the drainage by gravity, subsoil drains shall discharge to an accessible sump pit provided with an approved automatic electric pump. A sump pit shall be at least fifteen (15) inches in diameter, eighteen (18) inches in depth, and provided with a fitted cover. The sump pump shall have an adequate capacity to discharge all water coming into the sump as it accumulates to the required discharge point, and the capacity of the pump shall not be less than fifteen (15) gpm. The discharge piping from the sump pump shall be a minimum of one and one-half (1-1/2) inches in diameter and have a union to make the pump accessible for servicing. o Subsoil drains subject to backflow when discharging into a storm drain shall be provided with a backwater valve in the drain line so located as to be accessible for inspection and maintenance. • These plans have been reviewed by the Public Works Department for conformance with current City standards. Acceptance is subject to errors and omissions which do not authorize violations of adopted standards or ordinances. The responsibility for the adequacy of the design Inns totally with th designer. Additions, deletions or to isions to these drawings after this date will void this acceptance and will require a resubmittal et revised drawings for subsequent approval. Final acceptance is subject to field inspec • n by , the Public Works utilities inspector. ; B Dg 1 • / 55' P i -4J set he r. -, 3 0' (21 c BECE1V ED CITY OF jAn 2 4 2001 pERM►T CENTER �1 s. y.'•' aS:; istin tl: Ufc: 1( ite'" i': de" F�« iSY{ i1'iYt'u•'.i�.,i- :.fn:;i:2'E:ae CJ o.: Lt.1 366.6 'OLL 5 RLL V 38.77' FOUND TRIAD REBAR AND CAP EXISTING HOUSE TO BE M0\/ED 13.53' 1 1 PLL W 24.C7 RLL \89°17'51"W N88°13'38''W 24.81' - 4r 94.84' - co l RLL 7 NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. _ _ • NOTICE:. IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR ThA THIS NOTICE IT IS DUE TO THE QUALITY OF -THE • _ • - NOTICE :. IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. C:3 r 37 h‘l 5 • These plans have been reviewed by the Public • Works Department for conformance with current City standards. Acceptance is subject to errors and omissions which do not authorize violations of adopted standards or ordin.ances. The r esponsibility for the adequacy of the design rests totally with the - designer. Additions, deletions or revisions to these drawings after this date will void this acceptance •---------and _will require a resubmittal of revised drawings for subseq rov uent appal. ,- Final acceptance is subject to 'fie inspection by the Pu Works utilities inspector. Date: By: - eit . ao .01 — 11 'NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. _ _ _ mm Drawing# t€Jat �TO MZg4 - ° rA-SV% %\eakt`;--S\ \-\ -^� S R S \L 33 5 l7 RECEIVED MAY 15 2002 TUKWILA PUBLIC WORKS AIM - ( -� • % I O ‘12A/,k - ACO■-zb`s 1 \0 � 2O ' Final the Da 1 ans have ed by for conformanc eptance is suble not authorize vi The 24 4)11/ ks De ty standards. Ac omissions whic adopted standards r ordinances. 1 u for the adequacy df the design rest deletions or revi for designer. Additions, � to will void th' drawings after th' � and will req fo -subse 4 \ � the wit t to lation resp total ons t acre ed bilo otirc@tt rror& and of nsibillty with the these tance wing& on by \ Z c,vQv�R� \ A- \\'Ll\ )7 A'1 tit x :5= ,kfi>` 'r'.� ?;:1hM °liv� SevEf--- Kr r > Z \ ' O� iF 2 r / i as r i,NSO GPTV -RGES ' .e0‘ 3 1 d r-- 26 A6 "Cf CU �••• r - U fA q ;J., g .5 y 3-4 0 . G c. >r a rn U y •-.• «.• c : s -t7 S-• h •::z r; i"• 3-i • r.} t.,— • •.. !r U t: A O • 0 'O • �•• 1 Es -, 9 • t) g") ; .� !� - rte -A + �• r6 is rJ ✓' V: .•, • .• : • r, '• CI • ; . I" e $•• 1 . , . .. ,.. . ,:.....! . .. „ . . . . .,, . . . . .. . ".. ' ,, r ; .I 1 . 1 . ;:•: '.. ' r . :". ri ' . t F ", «..., ••••• • ,L �V « • y • '. 1. 1 .T. :a ••••••1 RECEIVED ` JAN J 2_ 2002 TUKWILA PUBLIC WORKS `. ' „a 3 , CITY OF TUt(YVIIA APPROVED V as • ,1.J e. ) 9\ ` U \�, :3 ro F•t .. i•J • 1 71 4 • 1 1 These plans have been reviewed by Works Department. for conformyppce rds. Acceptance is subject hic oriz opte . stated: • s or ordinances. for the adequacy of the design designer. Additions; deletions or revfsipns to these drawings aftef this date will void tea' 'acceptance and will require a • resubmittal of reed drawings for subseq - ent approval. 1 lit Final ac eptance is subject to field irrs the P . is Works utiliti inspector. r Data, , By: REVISION N the Public l with curre u ,� to error and nso • totally with the ectioil •by Dotes Sp( J%r I�tI ctrY D1 t -R 9, t•1- RECEIVED CITY OF TUKWILA To i1 m cis 0 6 i SEP 17 2001 G UII �I'f'_ vT P ERMIT CENTEF : 46 ��\J S• sEP z o 200 \k— Dol —g i; �J� .,.vi,''lrr�,�.�11i:.''tl-,' sal. i:; w: d:£:' t: icv: 71'' i' t!' st , �2«tiL'Yt:.S;r`.at�YE.fii.:i? 1i '€ 7�i$ �'!' F+ %+h'' "' e� v: i'� "i?�iE�S!)tv".", 05/07/02 TUE 14:23 FAX 206 437. -8539 • May 7 2002 Mayor Steve Mollet Jim Morrow Cathryn A. Stetson and Jill Mosqueda 6200 Southcenter Blvd. Tukwila, WA 98188 RE: Correction letter to Revision # 4 Dear Mrs. Stetson and Ms. Mosqueda; This letter is in response to the above reference. I have met with Ms. Mosqueda after receiving your letter and told her that I am abandoning any expressed goal of covering the ditch between the street and my property. Although Ms. Mosqueda told me that I would not need to do item # 1, and item # 2, could be done by ine. I still can not afford this project because of item # 4. I am not a license contractor, In the past, I have had to provide the whole amount in cash for the three bonds the City has required for this project. Regarding item # 5, I hope I fulfilled it to your satisfaction by adding additional silt fencing and hay. This Saturday I had three people manually shoveling top soil to the ditch to create a bum where there was none previously, as recommended by Ms. Mosqueda to keep the street water from going into my property. I seeded with Red Clover, which I believe provides a natural, safer and easier maintenance ground cover than grass does. The neighbors around me have trees and plants on the right of way. I would like to know if I am allowed to Landscape also as long as I do not block the waterway. DRIVE WAY ENTRANCE As all of you are aware, I had to apply for building permit before the land had been clean of tree weeds and garbage to accommodate the City of Tukwila time schedule for work on the future Cascade Park. This prevented me from working on the design possibilities the site provided after my clearing. On revision # 1, I located the house on its final place, which protected all the trees and used the land at its best. This revision already showed the proposed driveway and hammerhead. I have just finished talking to Ms. Mosqueda on the phone it is now 1.30 p.m. She is told me that 1 will be required to remove the existing entrance ifl want to use the entrance location that best serves my home. I have offered to block that entrance with a fence or rocks to no avail. It is my contention that if that entrance is to be considered existing for purposes of not having to replace the existing culvert, then 1 should not be required to pave over it. Paving over a pipe that does not meet the new requirements is a waste of taxpayer dollars because it will have to be all removed when the street gets upgraded. 1 should not have to work on the right of way removing an old entrance, or be forced to use that entrance on a new building permit; this should have been part of the demolition permit issued to the previous owner, if at all. Either you treat it as a preexisting grandfather driveway as 1 previously requested, or you remove it yourself. Asking me to remove it, is abusive. because I will have to hire a heavy equipment operator, where for placing crush rock and the reinforced PVC approved for residential driveways, 1 do not. All Tukwila is full ofyards that have undefined entrances, because there is not an open ditch. This allows people to drive into their property from any point. I could also find others with more than one entrance and ditch if] looked. Sincerely, \ • Jackie Dempere GORRE TION LTR #� REVISION N0. 4 CITY IJ MAY -- 7 2002 PERMIT CENTER r 120? ra +at�+1�y ✓Frw.:�::s:�:f,;;:u;yk�:sii�; rwla�:�8���ii'`aLi9 , F f aI tole: xrli�Ii`E n l3 glow. Z . re 2 -JU UO N D W= J H W O g w Z = Z� W D 0• O • N • 1- W W .. Z O W Z: U N. O Z __06/07/02 TUE 14:24 FAX 206 433 8539 Jackie Dempere April 18, 2002 Jim Morrow Director Public Works 6200 Southceuter Blvd. Tukwila, WA 98188 RE: Proposed relocation of driveway entrance Dear Mr. Morrow: The existing north entrance to 13217 40 Av. S. makes it awkward to access the new garage. Choosing the best solution within the parameters of your guidelines available to me is impossible without getting some answers from your department These are facts: 1) The front of the property at 13217 measures 94.41'. 2) The existing entrance is 15' wide and starts 20'from the north. 3) The concrete culvert pipe under this entrance is 12," but is not up to code. It has no bell ending. 4) The neighboring property to the north has the same concrete pipe. 5) The neighbor entrance starts at 4' from the property line to their south. 6) Both properties entrances are now unpaved. 7) My 4" PVC drainage pipe is at 49' measuring from the north. This winter we had tremendous amounts of water runoff coming from the north and west. As of yesterday the . ground feels saturated and spongy walking on it. Ace construction told me in February that they could not grade at least till July. This is because we had to dig quite deep to allow for the dollies moving the house. In addition the sewer entrance is located to the south, so the whole front yard was deeply excavated. I would like to enclose my 94' of frontage, the 4' hole between me, and the neighbor's driveway. This will involve taking the concrete pipe off and replacing the fill with crush concrete. I will be willing to replace their concrete pipe also but I worry if I will be required to pave their driveway entrance. That will make the project too expensive and I would have to stop at my property line. Next, I would like to move my entrance south between 40 to 60 feet from the north. That will require that I bring fill dirt to butt with the fill on the ditch. The existing house has all the utilities connected. It is about ready to call for the final but the permit require that the entrance be paved 20'into the site, Since I am ready to bring the plans for the mother in law on top of the two car garage, I would like to wait to do the whole driveway after all the trucks and heavy equipment are done with the site and the ground is dry and stabilized. I will like to receive the occupancy approval for the house before the drive is paved. What is required of me to get this permission? Would T have to pave the neighbor's entrance if I replace their pipe? Sincerely, Jackie Dempere 4033 S. 128' St. Tukwila, WA 98168 206 433 8539 X1002 .i1e�y:4:� a.'..ti *. �mn�Aw.. i... �. .. ,.. <:k.NP�ii � ✓� \h <:1: f'S::i� ":. tc 05/07/02 TUE 14:25 FAX 206 433 8539 May 2, 2002 Jackie Dempere • 4033.S 128 St. •Tukwila, WA 98168 RE: CORRECTION LETTER #1 to REVISION #4 Development Permit Application Number D01 -268 Dempere Residence 1321740 Ave S If you have any questions, please contact me at (206) 431 - 3684. Sincerely, Kathryn A. Stetson Permit Technician encl xc: File No. 1)02 -268 City of Tukwila C�•�CCc ae�J Jackie Dempere Steven M. Mullet, Mayor D epartment of Community Development Steve Lancaster, Director Dear Ms. Dempere: This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time, the Building, Planning & Fire Departments have no comments. Please address the attached comments in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) complete sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `revision sheet' must accompany every resubmittal. 1 have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenser service. IJ 003 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206 - 431.3665 'l+'. �':M1�156�1"N tr:: wl: �"• N��Abbi: 1. �}; ;:.:7:kxw:r•tt7r�r.v�� "- .,..:.. . J U. ' 00 W W " CO a: w O • } r ' S9- cr J F- • W z �; Z o ; LU O U CO: — : O 1— I 44 u. O ; '. i i i U It z 05/07/02 TUE 14:25 FAX 206 433 8539 Projec Name: CITY OF TUKWILA PUBLIC WORKS PROJECT REVIEW COMMENTS Dempere Residence Revision #4 13217 40` Ave S. Proposal to Install Pipe and Enclosed Ditch Along 40 Ave S in front of 13217 40 Ave S. File #: D01 - 268 Date: 04.29.02 Reviewer: L. 3111 Mosqueda, P.E. 5. Please also note that you are out of compliance with your existing permit. You must provide erosion prevention and sediment control per the 1998 King County Surface Water Design Manual. Cover measures shall be installed in addition to any perimeter controls that may be in place.. Cover measures include mulching, nets and blankets, plastic covering, temporary and permanent seeding, or sodding. Cover measures shall be installed over all open, unstabilized ground per the Manual. Jackie Dempere The City. Of Tukwila Public Works Department. has the following comments regarding'your application for the above permit.' Please contact Jill Mosqueda at (206) 433 -0179, if you have any questions regarding the following comments. 1 1. I spoke to Ryan Partee about your proposal. This ditch drains directly to Southgate Creek, which is a salmon- bearing stream. In orderr to modify the outfall, you will need to complete a SEPA checklist and receive a Hydraulic Project Approval (HPA). You will need the HPA, even if you relocate the culvert in order to relocate your'access. 2. In order to do this proposed work; you must have a design by an engineer licensed in Washington State. Once you have completed the SEPA and you have the HPA: 3. Provide plans per the City's Infrastructure Design and Construction Manual. Excerpts are enclosed. 4. Provide a bond and insurance per the enclosed excerpts. Projects /SFR/DO1 -258 Dempere 1 vAr.:g1t. S lii :i ::,wi} '4ti Sh. v as: . 411004 1 W -I C.) O O ` CO 0 CO w w O ' 2 u Q. w mo z i-- 2 0 '0 E =w 1•- U U. ui Z . C S 0 0 z 05/07/02 TUE 14:26 FAX 206 433 8539 • Erosion Prevention and Sediment Control 1. The erosion prevention and sediment control (ESC) measures on the approved plans are minimum requirements. The City may require additional erosion prevention and sediment control measures during construction. 2. Before beginning any construction activities, establish the clearing limits and install construction entrance. 3. Before any ground disturbance occurs, all downstream erosion prevention and sediment control measures (ESC) must be constructed and in operation. Install and maintain all ESC measures according the ESC plan. 4. ESC measures, including all perimeter controls, shall remain in place until final site construction is completed and permanent stabilization is established. 5. From May 1 through September 30, provide temporary and permanent cover measures to protect disturbed areas that shall remain unworked for seven days or more. From October 1 through April 30, provide temporary and permanent cover measures to protect disturbed areas that shall remain unworked for two days or more. In addition to cover measures, the Contractor shall: • Protect stockpiles and steep cut and fill slopes if unworked for more than 12 hours. • Stockpile on site cover materials sufficient to cover all disturbed areas. By October 8, seed all areas that will remain unworked during the wet • season (October .1 through April 30). Mulch all seeded areas. Projects/SFR/D01-268 Dempere Jackie Dempere 2 a 005 • • 05/07/02 TUE 14:26 FAX 206 433 8539 �i•r� I �� • o &e,c,:7.-R 1. Jackie Dempere / / I' \ 0,\`1 ! ~ -,, ✓ S � •- -- r 6 , • �l r 0 T . 1 mS+ Y--0.7 : A -, , - J. 4 '' evc.— 3 0 26 q r S 11006 0 OQ 1 0 ryl Om rn CD v d • • These plans have been reviewed by the Public Works Department for conformance with current City standards. Acceptance is subject to errors and omissions which do not authorize violatons of adopted standards or ordinances. The responsibilit for the adequacy of the design rests totally with th designer. Additions, deletions or revisions to these drawings after this date will void this acceptance and will require a resubmittal of revised drawings for subsequent approval. Final acceptance is subject to field hnspection b° " - -hlic Works utilities inspector. by Date: \ .� By: • 7 ( t G S' cl -t ...0 • :NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. 0 0 0 N N 66c OSI 0 0 y • Project Name: CITY OF TUKWILA PUBLIC WORKS PROJECT REVIEW COMMENTS Dempere Residence Revision #4 13217 40 Ave S. Proposal to Install Pipe and Enclosed Ditch Along 40 Ave S in front of 13217 40 Ave S. File #: D01 -268 Date: 04.29.02 Reviewer: L. Jill Mosqueda, P.E. The City Of Tukwila Public Works Department has the following comments regarding your application for the above permit. Please contact ]ill Mosqueda at (206) 433 -0179, if you have any questions regarding the following comments. 1. I spoke to Ryan Partee about your proposal. This ditch drains directly to Southgate Creek, which is a salmon- bearing stream. In order to modify the outfall, you will need to complete a SEPA checklist and receive a Hydraulic Project Approval (HPA). You will need the HPA, even if you relocate the culvert in order to relocate your access. 2. In order to do this proposed work; you must have a design by an engineer licensed in Washington State. Once you have completed the SEPA and you have the HPA: 3. Provide plans per the City's Infrastructure Design and Construction Manual. Excerpts are enclosed. 4. Provide a bond and insurance per the enclosed excerpts. 5. Please also note that you are out of compliance with your existing permit. You must provide erosion prevention and sediment control per the 1998 King County Surface Water Design Manual. Cover measures shall be installed in addition to any perimeter controls that may be in place. Cover measures include mulching, nets and blankets, plastic covering, temporary and permanent seeding, or sodding. Cover measures shall be installed over all open, unstabilized ground per the Manual. Projects /SFR /D01 -268 Dempere 1 74 f w: J U : 0 0 t U) 0 CO = N IL w 0 co � z o w • W' H U > L C.) i0 1 z es ; �,. L&krio,v Projects /SFR /D01 -268 Dempere Erosion Prevention and Sediment Control 1. The erosion prevention and sediment control (ESC) measures on the approved plans are minimum requirements. The City may require additional erosion prevention and sediment control measures during construction. Before beginning any construction activities, establish the clearing limits and install construction entrance. Before any ground disturbance occurs, all downstream erosion prevention and sediment control measures (ESC) must be constructed and in operation. Install and maintain all ESC measures according the ESC plan. • ESC measures, including all perimeter controls, shall remain in place until final site construction is completed and permanent stabilization is established. ▪ From May 1 through September 30, provide temporary and permanent cover measures to protect disturbed areas that shall remain • unworked for seven days or more. . From October 1 through April 30, provide temporary and permanent cover measures to protect disturbed areas that shall remain unworked for two days or more. In addition to cover measures, the Contractor shall: • Protect stockpiles and steep cut and fill slopes if unworked for more than 12 hours. • Stockpile on site cover materials sufficient to cover all disturbed areas. By October 8, seed all areas that will remain unworked during the wet season (October 1 through April 30). Mulch all seeded areas. A 1 . • t'-' / , / I. , t , ...., , .0"'""•• 26 .A6 • i / / 27/,/,. / 1 k . / I' PrOvic. So \Om . „ 4 1 .7 _---r. .t .J ..........._..........._....t4 __--1----------•1.---ii Ng _ ....... q)‘ C-c■ C..\\ %c■Si i N"--410 G P PC S r • • r: ;;‘•,;•;:r 7 1 • • f The following lists of references, standards, and codes provide the basis for design and construction requirements for multifamily - residential, commercial, or industrial development, or construction of public infrastructure within the City. Where conflicts arise, clarify the rule with the Public Works staff. 1.4.1 ALL PROJECTS The City of Tukwila recognizes and uses the most current edition of the following references, standards, and codes. 1. City of Tukwila Infrastructure Design and Construction Standards, 2. City of Tukwila Municipal Code, 3. Comprehensive Land Use Plan, City of Tukwila, 4. Standard Specifications for Road, Bridge, and Municipal Construction, prepared by the Washington State Chapter of the American Public Works Association (APWA) and the Washington State Department of Transportation (WSDOT), Manual on Uniform Traffic Control Devices (MUTCD), U.S. Department of Transportation as amended and approved by Washington State Department of Transportation, 6. King County Surface Water Design Manual, 7. Sensitive Areas Overlay, 8. State and National Environmental Policy Acts, 9. Shoreline Management Act, State of Washington, 10. WISHA - Washington Industrial Safety & Health Administration, 11. OSHA - Occupational Safety & Health Administration, 12. All other federal, state and local special requirements. 1.4.2 ADDITIONAL STANDARDS AND CODES In cases where the above references, standards, and codes do not cover elements of the project design and construction, the City recognizes and uses the most current edition of the following: Streets 1. A Policy on Geometric Design of Highways and Streets, AASHTO English units version, 2. NEC- National Electrical Code, 3. IMSA - International Municipal Signal Association. Surface Water 1. Surface Water Management Comprehensive Plan, City of Tukwila, 2. Washington State Department of Fish and Wildlife Requirements, 3. King County Spill Prevention and Control Manual, 4. Stormwater Management Manual for Western Washington, Department of Ecology. +t a ':i "6�- :^.,�, ��t, r iJ iitG.a&t;:l�; 4iia J;L wCaliv A% , 4:Vm41 , 441e '1404; '4114 14144YVAth 3 Flood Control Zone 1. Flood Insurance Study, current revision, Federal Emergency Management Agency, 2. King County Flood Hazard Policy, 3. King County Riverbank Stabilization Guidelines, 4. Green River Management (A.G.#85-043), 5. City of Tukwila Allentown Policy #2000-01 Revision 1. Water Supply 1. American Water Works Association Standards, Accepted Procedure and Practice, AWWA, 2. Manual of Cross-Connection Control, Foundation for Cross- Connection Control and Hydraulic Research, 3. Backflow Prevention Assemblies Approved for Installation in Washington State, Washington State Department of Health, 4. Standards and specifications of all districts providing service within the City, 5. Uniform Plumbing Code, 6. Water System Comprehensive Plan, City of Tukwila. Sanitary Sewer 1. Criteria for Sewerage Works Design, Washington State Department of Ecology, 2. Comprehensive Sewer System Plan, City of Tukwila, 3. Uniform Plumbing Code, 4. Standards and specifications of all sewer districts providing service within the City. 1 2.6.2 BONDS 1. Any excavation in the City right -of -way requires a bond for 10% of the work or $2000, whichever is greater. Applicant shall provide a copy of the estimate for the work being permitted. 2. All hauling permits require a $2,000 bond to assure street cleanup and damage repair. 3. All house moving or oversize load permits require a $5,000 bond to assure damage repair. 4. The Director may require a performance bond for 150% of the value of the work to be done. 5. The Director may require a two -year warranty bond for 10% of the completed work. 6. The Director may require bond for 10% of the project for erosion prevention and sediment control on projects which clear more than 6000 square feet or contain or abut sensitive areas such as Class 2 or steeper slopes, wetlands, or critical drainage. 7. One -year warranty required on all pavement patching and overlay on public streets. 2.6.3 INSURANCE 1. Permittees performing work within City right -of -way shall provide the City a $1,000,000 liability insurance policy certificate with the City named as additional insured. 2. If the Director determines the nature of any work is such that it may create a hazard to human life, endanger adjoining property, street, street improvement, or any other public property, the Director may require the applicant to file a certificate of insurance. The Director based on the nature of the risks involved shall determine the amount of insurance. Prior to beginning multifamily - residential, commercial, industrial development, or development requiring construction of public infrastructure within the City, the Applicant shall submit a permit application, plans, and specifications to the Permit Center for review and approval by the Public Works Department. Development design and construction shall meet all of the applicable standards and codes. a • • !:e,14. lr > :Y`b4= '-++S? Depending on the project, the Director may require submittals in addition to those described in this section. 2.7.1 ERRORS AND OMISSIONS At the Director's discretion, any significant error or omission in the approved plans or information used as a basis for approval will constitute grounds for withdrawal of any permit approvals and /or stoppage of any or all of the permitted work. The Permittee shall show cause why such work should continue and make such changes in plans as required by the Di rector. 2.7.2 PLANS The plans shall clearly indicate the location, nature, and extent of the proposed work and shall contain sufficient detail to show that all provisions of the standards and codes are met. A professional engineer, registered in Washington State, shall prepare the plans, and stamp, date, and sign each sheet. Provide plans on 22" x 34" sheets with lettering at least 1 /10 inch, unless Director approves a variation. At a minimum, the plans shall include all of the following that apply: 1. Plan Information • Title block. • Project name and address. • North arrow. • Scale - ✓ For site work : 1 " =40' horizontal and 1 "= 4' vertical. ✓ For public facility work : 1 " =20' horizontal and 1" =2' vertical. • Proposed as solid lines and existing as dashed lines or in half tone. • Location - Street names, addresses, parcel numbers. • Vertical datum - NAVD 1988. For a Flood Control Zone permit, the Applicant shall supply conversion calculations from NAVD 1988 to NGVD 1929. • Horizontal datum - NAD 83/91. 2. Property lines - Site property lines shown in true location with respect to the plan's topographic information. 3. Easements and rights -of -way - Boundaries, dimensions, purposes and recording numbers. 4. No -work Zones - Dimensions of clearing limits, sensitive areas and their buffers. z re w U O cn w : W = CO u_ w O u. J N • d z � z1- U o U • N= ;0 W • W` - • 0 ui z ` z 5. Topography - Existing and proposed topography for 15 feet outside the property lines, at a contour interval sufficiently detailed to define the topography over the entire site. The standard contour interval is 2 feet. Projects within flood control zones and some storm drainage plans require 1 -foot intervals. The Director may require contours up to 300 feet outside the property lines. 6. Cut and Fill Volumes - Total cut and total fill as separate volumes. 7. Stockpiles - Quantity of soil or earth material in cubic yards to be excavated, filled, stored, or otherwise utilized on -site. Location and graphic representation of proposed excavations and fills, or on -site storage of soil and other earth material, and any on -site disposal. 8. Drainage Features- Location and graphic representation of all existing and proposed natural and man -made drainage features including water courses, lakes, and wetlands within 1 /4 mile upstream and downstream of the project boundaries. 9. Impervious Surface - Number of acres of entire parcel (to nearest 0.1 acre), total square footage of total impervious surface, and percent of site which will be impervious surfaces. 10. Structures - Footprints of buildings or structures on the property and the footprints of any buildings or structures on land adjacent to the site which are within 15 feet of property lines or which may be affected by the proposed grading operations. Provide finished floor elevation of proposed structures. 11. Existing and proposed, aboveground and below ground infrastructure. 12. Include streets, storm drainage, water supply, and sanitary sewer. • Streets - Curb, gutter, sidewalk, accesses, lighting, junction boxes, detector loops, widths, cross - section, pavement section, radii, and grades. • Storm drainage, water supply and sanitary sewer - Location, percent slope, length, size, and type for all pipes. Elevations for catch basins, flow line elevations, manholes, side sewers, drop connections, pipe size changes, and clean outs. Provide a logical numbering system for structures such as manholes and catch basins. Identify any possible utility conflicts and provide pothole depths. Indicate drainage flow directions in parking lots, roadway intersections and cul -de- sacs. Provide maintenance access. ;s:rirdd rK a 0 zt�rx 4; a?sl:i an txa, : i49htti i#+sra .4 3 n V ', For water and sewer, provide a profile of water main and sanitary sewer main using the same stationing, on the same plan sheet as the roadway plan view. The profile shall include existing topography, proposed topography, and invert elevations shown at point sewer leaves structures, connects to the main, and at all bends and junctions. For projects requiring a grease interceptor, provide plumbing plan showing all plumbing going to the grease interceptor. 13. Erosion prevention and sediment control plan. 2.7.7 TURNOVER DOCUMENT The City requires Turnover Documents when a developer constructs public infrastructure as part of private development. Public infrastructure can include water main, sewer main, storm drain, sidewalk, curb and gutter, streetlights, and streets. Turnover documents include a Bill of Sale, Material List, Maintenance Bond, record drawings of the constructed facilities and Easements or Dedication of Right of Way. Before turnover to the City, the Mayor's Office or the City Council must accept constructed infrastructure, when the value exceeds $25,000. If the City does not accept the constructed infrastructure, the ownership and maintenance of the facilities remains the sole responsibility of the Developer. 2.7.8 RECORD DRAWINGS Record drawings provide certification by a Washington State registered professional engineer that the facility has been constructed as shown on the "as- built" plans and meets approved plans and specifications. When required, Permittee shall provide the record drawings prior to project final approval by the Director. 2.8.2 WORK IN ROADWAYS 1. Prior to any work in City right -of -way, the Permittee shall provide the City a traffic control plan for review and approval. The traffic control plan shall include the location, address and description of traffic flow during the work and shall meet MUTCD requirements. 2. All work requiring lane closures must be by permit only. 3. Pedestrian and vehicular access to buildings shall be maintained at all tirnes except when Permittee has permission from the building owner and the Director to close an access. 4. All roadways shall be kept free of dirt and debris using street sweepers. Use of water trucks for cleaning roadways requires preapproval from the Director. 5. From the third Thursday in November to the following January 2 the Director allows no work requiring lane closures in the Tukwila Urban Center. 6. Install steel plates over any trench, at any time work is stopped and the trench is left open. Refer to RS -X. 2.8.3 CONSTRUCTION EASEMENTS All construction on easements shall be performed strictly in accordance with the easement provisions. The Permittee is responsible to make himself aware of all conditions pertaining to the easement agreement. No work shall be permitted in easement areas where City utilities may be located until specifically authorized by the City. 2.8.4 TRENCH EXCAVATION All trench excavation operations shall meet or exceed all applicable shoring laws for trenches over 4 feet deep. The following applies to utility trenches such as storm drain, water supply, and sanitary sewer trenches. 1. Construct per XX -XX and WISHA /OSHA requirements and meet the erosion prevention and sediment control requirements in 3.1.4. 2. During excavation, divert any surface water and pump the trench as needed to keep the trench free of water. Permittee shall store pumping equipment near the trench excavation to ensure that these provisions are carried out. 3. Completely excavate boulders, rocks, roots, and other obstructions or excavate to the width of the trench, and to a depth of 6 inches below the bottom pipe grade. VLf(M.6�AlY(� ..: . .•;. , ;:: ;X .. �/ . :MIYI!M9�1y'YwYr .. ....... ... ......�.... .... .�.�.. ,.,.. .a. .vsr�.na.ryH,tlMTfiY.. W11CJ.iewi, 4. Back-filling and surface restoration shall closely follow installation and testing of pipe. Trenching operations shall extend a maximum of 100 feet in advance of the pipe laying operation. For excavation greater than 100 feet, the Permittee must obtain written approval from the Director. 5. Use hand tools to: • Finish the trench bottom in such a manner that the pipe will have a uniform slope along the entire length of the pipe. • Excavate the bell holes enough to make up the joint. 6. Pipe Installation: • Pipe deflection is not allowed. • According to APWA Standards and the manufacturer's recommendation. 2.9.1 FIELD INSPECTIONS The Permittee shall schedule inspections with the Public Works Inspector at least 24 -hours in advance. The inspections shall occur at completion of significant work segments, at intervals sufficient to confirm all work is performed in accordance with the plans and specifications, and at the project completion. Work covered prior to inspection will be uncovered at the expense of the Permittee. The Permittee shall request inspections for the following events: 1. Before backfilling, for compliance with all construction standards. 2. After placement of rock, for compaction and material quantity and quality verification. 3. Prior to the placement of any materials, which would preclude full and complete inspection of construction, which will be buried or covered. 4. At completion of sub - grade, for compaction and grade. 5. During and after placement of finish course for compaction and material (quantity and quality). 6. After placement of forms and before pouring for line, grade, and compaction. 7. All pressure testing, including air and water tests. 1 3.1.4 ESC PLAN The Land Altering permit application shall include an erosion prevention and sediment control plan designed in accordance with Chapter 1 Reference Standards and Codes and in accordance with the current edition of the King County Surface Water Design Manual. The plan shall provide information for temporary erosion prevention and sediment control during all phases of construction and also shall provide permanent stabilization for disturbed areas. During construction, the Director may require additional measures as needed to prevent erosion and retain sediment. Principles The plan shall emphasize erosion prevention rather than sediment control and shall minimize the extent and duration of soil exposure. In addition, the plan shall minimize runoff velocities and retain sediment on -site. Plan At a minimum the ESC plan shall show clearing limits, sensitive area buffers, and shall provide temporary stabilization, sediment retention , and perimeter protection. In addition, some projects will require stabilized traffic areas and surface water controls, which shall be shown on the ESC plan. The plan shall also provide a description of final stabilization methods. Seeding The plan shall provide the seed mix for the temporary and permanent seeding. Cover measure • May 1 through September 30, temporary cover measures shall be installed on ALL areas left undisturbed for more than seven days. • October 1 through April 30, temporary cover measures shall be installed on ALL disturbed areas left unworked for more than TWO DAYS. These requirements may be relaxed at the Director's discretion, depending on site topography and other conditions. • At all times, any disturbed areas left unworked for more than 30 days shall be seeded. Wet season requirements — October 1 through April 30 At a minimum, the ESC plan and plan notes shall provide the following for work which will occur from October 1 through April 30: • Install temporary cover measures on all areas that will remain unworked for more than TWO DAYS and on stockpiles and steep cut and fill slopes. • Retain onsite a quantity of cover measures materials sufficient to cover all disturbed areas. • By October 8, temporarily seed and mulch all areas that will be unworked during the wet season. • Mulch all seeded areas. • Stabilize all construction traffic areas, unless already graveled. 3.1.5 ESC MAINTENANCE 1. Failure to maintain ESC measures in accordance with the approved maintenance schedule rmay result in the work beiug_performed at the z a1 w 6 O 0 0 w z. J }- N u. w g ? Sp... a z �.'. � z I- w w o - 0 I = O uw z o o 1 : z C' direction of the Dii.tor and assessed as a lien against a property where such facilities are located. 2. During the life of the project, the Permittee shall maintain in good condition and promptly repair, restore, or replace all grade surfaces, walls, drains, dams, structures, vegetation, erosion and sediment control measures, and other protective devices in accordance with approved plans. The Permittee shall monitor the downstream drainage features, and shall, with the Director's approval, remove all sediment deposition resulting from project - related work. 4. The Director shall assume maintenance and operation responsibilities for all ESC measures located within public easements and rights -of -way, following final acceptance of such facilities by the Director. CHAPTER 4 STREETS All standards and specifications contained herein represent minimum requirements for streets in the City of Tukwila. Refer to Chapter 1 Introduction that contains references, standards, and codes. Refer to Chapter 2 for General Design and Construction Standards that apply to all design and construction within the City. FE" Pr; ;' r ; The Director may require any of the following permits for work within the City right -of -way: Street Lighting /Signal Channelization /Striping /Signing - Required for new streets and modifications to existing striping, signs, and illumination. Curb Cut /Access /Sidewalk - Required for all new sidewalk access points and modifications of existing access. Hauling - Required for transportation over City Streets of more than 50 cubic yards of dirt, debris, construction materials, etc. Oversize Load /House Moving - Required when moving an oversize Toad over City streets. Oversize load is defined by WSDOT as exceeding 8 - feet in width, 14 feet in height and 75 feet in length. Street Use - Required for any lane closure, special event, or any work within a City right -of -way. Franchise Utilities - May be issued as a single permit, in accordance with a franchise agreement covering all street use actions. Franchise Utilities are bound by the requirements of this chapter. For street lighting, provide calculations using ALADAN found under "Roadways" at the General Electric website. 1.2 5•11 DESIGN .TPECj:_iiJ-'...y_ C.)1\ Refer to RS -1 through RS -XX and the following specific requirements that apply: • Sight Distance - On the plans, note the sight distance for all horizontal and vertical curves, intersections and access points. Setbacks shall meet AASHTO Policy on Geometric Design. • Grade - The maximum grade for all roadways and driveways shall be fifteen percent (15 %). Grades over 15% require approval of the Director and the Fire Department. • Landscaping - Refer to the Landscaping requirements in Section 2.4. CHAPTER 5 SURFACE WATER All standards and specifications contained herein represent minimum requirements for surface water in the City of Tukwila. Refer to Chapter 1 Introduction that contains references, standards, and codes. Refer to Chapter 2 for General Design and Construction Standards that apply to all design and construction within the City. 5.;) !.:)F;A[NA(: E Pf_v c1.•' A storm drainage review is required for most construction or development activity within the City of Tukwila. For projects that meet any of the following conditions, the Applicant shall provide the City with a design meeting the current edition of King County Surface Water Design Manual: 1. Adds 5,000 square feet or more of new impervious surface per threshold discharge area. This includes all impervious surface which will result from the project, including short plats. 2. Proposes construction or modification to a drainage pipe /ditch that is 12 inches or more in size or depth, 3. Proposes to construct or modify a drainage ditch or pipe that receives runoff from a drainage pipe or ditch that is 12 inches or more in size or depth, 4. Proposes construction within a Critical Drainage Area, 5. Contains or is adjacent to a floodplain, stream, lake, wetland, closed depression, or other sensitive area as defined by the City's Sensitive Areas Overlay, 6. Adds 2,000 square feet or more of new impervious surface and is located within a Landslide Hazard Area, 7. Clears more than 7,000 square feet or 35% of the site and is in an area subject to areal clearing limits, 8. Proposes redevelopment costing $1,000,000 or more to a high -use site, 9. Proposes redevelopment costing $500,000 or more which creates 5,000 square feet or more of contiguous pollution - generating impervious surface. The total square footage includes new and /or replaced surfaces. The scope of drainage review varies with the complexity and potential surface water impacts a project could have. ) Vetts) eexr. Refer to the current edition of the King County Surface Water Design Manual for the design and Technical Information Report requirements for the following four types of drainage review: 1. Small Site Drainage Review 2. Targeted Drainage Review 3. Full Drainage Review 4. Large Site Drainage Review 5.1.1 OUTFALLS Hydraulics Project Approval - A new outfall or a modification to an existing outfall to a designated water course may require a Hydraulic Project Approval (HPA) from the Washington Department of Fish and Wildlife (WDFW). When HPA is required, the Applicant must provide proof of HPA to receive a storm drainage permit from the City. 521. SPECIAL.. DkAl NAGE '.EQU[REN1ENiT`.=; Maintenance Access - The Applicant must construct a maintenance access and provide the City a maintenance easement for all new or modified outfalls. encl xc: January 8, 2002 Jackie Dempere 4033 South 128th Street Tukwila, WA 98168 Release of Assignment of Account Dear Ms. Dempere: City of Tukwila Department of Community Development Steve Lancaster, Director This letter hereby authorizes the release of the assignment of account referenced above in the amount of $2,992.00 for the construction of a foundation for the single family home moved onto the property located at 13217 — 40th Avenue S, Tukwila. I have enclosed a copy of the assignment for your reference. If you should have any questions, please contact our office at (206)431-3672. Sincerely, Riad LH IQ/ Brenda Holt Permit Coordinator File No. D01-268 Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206-431-3670 • Fax: 206-431-3665 • �j1 ., � 5r :.: GTii�J!t :•::::.. � ` t7m @d`.: :. j!:, C ..�jr.:9t� :::::.:::.. I FUND IS AUTHORIZED T THIS 4, D. ACCEPTED. BE C � SIGNED: 1-g24 ill .e-,-- DEPARTMENT HEAD: AMOUNT: O CASH () CASH EQUIVALENT DEPOSITED THIS DATE: 8 -v/ CITY RECEIPT NO. f ( //[ /J) .. -. ,- _�_............. ... .fC.:•M1 :::.... RECEIVED BY: h .,.,,,.,.•t••......s,.a,..,, a......a:aw,....wakvvauoavwr ......... c......r.... ^D7WxidJ:a\4.rosottn........... • ARMOR „ ......................... NAME OF DEVELOPMENT: EKe.- . S �Q�1� \ -k DATE: DEVELOPMENT ADDRESS: \ ` 2_ ` G}C� C ,7A PERMIT NO.: -- Z C')/ CASH ASSIGNMENT NAME• e y ~ -� . TEL. NO. SHALL BE REFUNDED BY MAILING TO: (please print) DESCRIPTION OF ITEMS TO BE COMPLETED (REFERENCE PLANS/DOCUMENTS WHERE ITEMS ARE D SCRIBED) As the owner, or authorized agent of owner, I hereby submit cash or cash equivalent in the amount of $ cct 2 • I-) of value to complete work described above) and attach supporting d nt tion for value of work.1 will ttave this work carried out and call for a final inspection by this date: - (C'0 / a2 a /©0Q ), or risk having the City use these funds to carry out the work with their own contractor or in -house manpower. If I fail to carry out the work, I hereby authorize the City to go onto the property to carry out completion of the above deficiencies. I further agree to • mplete all ork listed above prior to requesting inspection and release of these funds. CHECKED BY: i •.i 9%.Y,QC G. '(o b •c omplete d • `.f ri1i4:i vivrvvi 72 HOUR NOTIFICATION FOR INSPECTION AND RELEASE OF FUNDS DEVELOPER'S REPRESENTATIVE: •iiA�}. w,Nx &dnivem.v4M1m, , NANAe. •k:iiwi`ti�viivriiti.`iin':iiitivi i �X•3v why., ` ��' is�i�r��� %'r >;'_:;`ti °;�z <`;_�'_ii ��i;yiv �; ?ii >i::;:;::` %::;�'iip`_ _ _ — —■ �;;r +`w'ii�7.'•.' > %���`,_i Sri City of Tukwila DEVELOPER'S P"JECT WARRANTY REQUEST FORM SIGN AUTHORIZED BY: ' Upon completion through Section 2, Finance personnel shall send copies to: - Developer - Finance Department - Permit Coordinator, DCD All work identified in Section 1 of this form has now been completed and returned to department which authorized warranty. I hereby request inspection and release of my cash/cash equivalent. DATE: o found it acceptable and therefore ve work and ou d I have reviewed he above p authorize the re ease of the bo a cash assignment. •ee• • DEPARTMENT: ..•c ompleted::: AMOUNT:0 Z qq 2 . D U CASH EQUIVALENT- LETTER AUTHORIZING RELEASE re ('(- CASH CITY CHECK NO. ,-FINANCE RELEASED THIS DATE: ' - -�- RELEASED BY: 1) 1I,af ,�-- e x w :::w, .w,m>,.,�,.iw w w„ww,K „�w .w „� wY. ,ww,.,m� ,� ,.,mww • w .,. wn,� • Upon completion of entire form, Finance personnel shall send copies to: - Developer - Finance Department - Permit Coordinator, DCD ?Fi w „ww, •• �fl Instructions Pursuant to an Assignment of Account for Security Purposes The undersigned ( "Assignor) by separate instrument ('Assignmenr) having assigned and conveyed to 0t lCC /lam ('Assignee "), its successors and assigns, all of Assignor's right, title and interest in and to that 6srtain Certificate of Deposit held at Bank of America ( "Bank ") evidenced by Account No. ("Account ") in the current principal sum of s. 99 +,92 - 0 ('Principoil and all further deposits, interest or other monies due or to become duo thereunder, and Assignor Mnrier having authorized and empowered Assignee at any time, in Assignee's own name or In the name of Assignor, to withdraw and receive all amounts currently due under sold Account and to execute any and all instruments required for tha withdrawal of such sums, Bank is hereby specilicelly authorized and directed on demand of Assignee to pay all monies thereby assigned directly to Assignee. Moreover,' Assignee shalt be entitled to close Account on demand and on me Bank's receipt of such other documents as the Bank may require. The Assignment was given es security for a debt owediby Assignor to Assignee. The Benk shall be undor no obligation to determine that any indebtedness thereby secured is owing at any time or to see that any sums of money paid to Assignee are applied to such debt. Assignor and Assignee hereby release, indemnify and hod Bank harmless for any payment made by Bank In accordance with these Instructions. These instructions shall continue In full force and ailed from the date of execution by Assignor and Assignee until and Including - at which time Assignment shall terminate and all interest in the remaining Account shall automatically revert to Assignor, Its successors or assigns. It Is further understood and agreed that 0 no date appears in this paragraph, then these instructions shall continua to be in full force and effect until Assignee givos wrItton notice to Bank that It has relinquished all of Assignee's right, title and interest in and to the Account and these instructions are to be terminated. (PARTIAL ASSIGNMENT: Either Complete or Strike the Following) Notwithstanding any provision herein to the contrary, Bank is instructed that the parties intend only S °/ 9g ° of the Principal contained in Account to bs subject to the provisions of these instructions and to be held by Bank for the beftsllt of Assignee. Bank is authorized, empowered and directed on demand of Assignor to pay any unassigned portion or Interest earned on Principal to Assignor, its sus. cassors or assigns as the same may become payable according to the terms of the Account. �� IN WITNESS WHEREOF the parties have executed these Instructions this _ 3d1 ASSIC. -XEc• !` () ? t W (r ... _ ASSIGN.° By:. c j r a,Pr Title: C _, ,,o C� ;of I 2633 3. /-P Tt. .LU // tL5M Address: c L t re e� )O1,- v Aid 71/6d Tax I.Q No. Bank o1 erica The above instructions are hereby ac nowledged. The signature ��s) of the Ass' nqr- Deposltor(s orrospond s) toostr rat ords. The balance of the Account referenced above IS S _ • Ca , is of this date 3071 C ( .z0 d / c10:1 A 1EM Bank of A erica This section is to be completed only when these Instructions are to be terminated. TERMINATION INSTRUCTIONS DATE: undersigned Assignees having released and relinquished all of Assignee's right, title and Interest in the above-numbered Account Bank is hereby notified of same and directed 10 terminate hereafter the instructions appearing above Signature of Assignee: (e 9 Title: OR?3e• 1147 Bank of America , 1116,V WHITE: Branch CANARY: Assignee PINK: Client 0set.i7 /7). /1 a day, By: Title: f /�P 17es /th! /Lt r Ln Bd./Ito-2g Caltiv G �+�'tA >a‘thlwu 4i Jackie Dempere 4033 S 128 St. Tukwila, WA 98168 : CORRECTION LETTER #1 to REVISION #4 Development Permit Application Number DO1 -268 Dempere Residence 13217 40 Ave S Dear Ms. Dempere: This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the Public Works Department. At this time, the Building, Planning & Fire Departments have no comments. Please address the attached comments in an itemized format with applicable revised plans, specifications, and /or other documentation. The City requires that four (4) complete sets of revised plans, specifications and /or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a `revision sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections /revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at (206) 431 -3684. Kathryn A. Stetson Permit Technician encl xc: File No. D02 -268 Ciiy of Tukwila Department of Community Development Steve Lancaster, Director Cc - �i�ao� Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 - 3665 t. 3 .4 August 13, 2001 Ms. Jackie Dempere 4033 South 128th Street Tukwila, Washington 98168 RE: Relocation of House 14211 37th Avenue South Tax Parcel 152304 -9095 Dear Ms. Dempere: City of f Tukwila Department of Community Development Steve Lancaster, Director z u6m J 00 . cn w. w J U) LL w 2 (0 �. u i _. Z 1—; w • w U There are four basic steps in the relocation process if the house is to be relocated within the City of " Hi Tukwila: 1) providing the Planning Department with documentation that a suitable relocation site has been .W w` secured within the City of Tukwila; 2) obtaining pre -move inspection from the Building Department; 3) LL obtaining a building permit from the Building Department to construct a new foundation at the relocation 1 _ O. site; and 4) obtaining an oversize Toad permit from the Public Works Department. In the event you decide Z. The following information is being provided to assist you as you begin preparations to purchase and relocate the above - referenced house. The information is intended to summarize the City's requirements in connection with the relocation and the sequence in which those requirements must be satisfied. We hope you will find this information helpful, and urge you to familiarize yourself with the detailed requirements related to the proposed move under the Tukwila Municipal Code. to move the structure outside the City of Tukwila, only Items 2 and 4 will be required. U •.. O The Department of Community Development and Department of Public Works have committed to expedite Z the processing of your various permit applications. However, this commitment is dependent upon your responsiveness to the permit application requirements and upon your submittal of the necessary documentation by the deadlines stated below. If your chosen relocation site is found to contain complicating factors associated with wetlands, shoreline, watercourses, steep slopes or access, additional permits and processing time may be required. The deadlines provided below have been established to allow adequate time for your applications to be processed and the house relocation to be completed by September 15th. The following is a summary of the four -step process. The Relocation Site RELOCATION PERMIT Steven 1W. Mullet, Mayor If the house is to be relocated within the City of Tukwila, you will need to provide documentation that the site is a legal, buildable lot and that all zoning requirements (such as land use) and performance standards (such as setbacks) will be satisfied. Additionally, you must provide an Affidavit of Ownership for the relocation site (copy attached). This information should be provided to the Planning Department as soon as possible, but not later than August 24, 2001. O.300 c, i3.ot:l,ward. Suite / ; /OO • Tiilcwila, Washington 0 3188 • Phone: 20n-- i31.3i). - 0 • / iv: 20o-4.3/- 3,1n.5 Ms. Jackie Dempere August 13, 2001 Page 2 2. Pre -Move Inspection 16.04.060(2)). site will be helpful. Building Permit for Relocation Site Completed application. FOUNDATION PERMIT W : U O, 9 w a. Completed application. g O, u. Q b. Pictures of the structure to be moved, showing all four sides of the structure (TMC L The address or detailed description of the relocation site. Photographs of the relocation 1Z 1- O Z w w; $25.00 fee for the pre -move inspection of the house (per TMC 16.04.090). 4 Information regarding the foundation at the relocation site. Will the house be relocated `0 H , onto a new foundation with a crawl space, onto a concrete slab or placed over a w w basement? 1•••• c>> 0 The City of Tukwila is the present owner of the structure. In order to facilitate its relocation, the Z; . Building Inspector recently conducted a pre -move inspection of the house (see his comments, U �. attached). Once you have submitted the Relocation Permit application materials and pre -move ~ O f. inspection fee, the Building Inspector will contact you to arrange for the inspection of the ? . : relocation site (if located within Tukwila's city limits). Following his site visit (if required), you will be notified of any problems that will affect the relocation of the house. The correction of these problems will be a condition of the Relocation Permit. In order to obtain a pre -move inspection from the Building Department, a "New Single Family Residential Permit Application" must be completed. We are enclosing a copy of that form (pink) as well as a copy of the "House Move Procedures" and TMC 16.04 for your reference. The following information and attachments should be provided to the Building Department on or before August 24, 2001: In order to obtain a building permit from the Building Department to construct a new foundation at the relocation site, you must complete a second "New Single Family Residential Permit Application ". We are enclosing a second copy of that form for your use. The following information and attachments should be provided to the Building Department on or before August 24, 2001: b. Residential site plan including footprint of residence, setbacks from property lines, existing structures and their uses and utility information (see "Public Works Single Family Residence" packet and green flyer labeled "H -9 ", enclosed). Please be advised that the City has an undergrounding ordinance, which requires power utilities to be underground from the pole to the structure. NF.CY ?.:... �Sa;:d- 'Y.- ;Yrti.•;f:;�' :�• i!'���tvtii,t�::a:f Ms. Jackie Dempere August 13, 2001 Page 3 c. Construction drawings showing foundation plans and details (as well as details for any • additional required work) designed in accordance with the 1997 edition of the Uniform • Building Code. d. Owner's statement (attached). e. Moving Contractor's Statement (attached). f. Plan review fee. This fee is based on 65% of the value (calculated at $62.30 per square foot). Prior to the issuance of this permit, a bond must be provided in the amount of 110% of the work required to be done in order to comply with all conditions of the relocation permit, as such cost is established by the Building Official (TMC 16.04.120 and 16.04.130). OVERSIZE LOAD PERMIT • Oversize Load Permit In order to physically move the house, an oversize load permit must be obtained from the • Public Works Department. Either the owner of the house or the moving company can apply for this permit. To apply you must submit the "Miscellaneous Permit Application" attached (green). The following information and attachments (see Submittal Checklist M-5) should be provided to •, the Public Works Department on or before August 24, 2001: a. Copy of Certificate of Insurance coverage (minimum $1,000,000) listing the City of Tukwila as additional insured. b. $5,000 bond made out to the City of Tukwila for property damages caused by moving activities. Business License with the City of Tukwila. Route map (Thomas Guide reproductions are not acceptable). e. Dimensions (L x W x H) of overall load. f. Approval from King County Property Services if the route includes King County roads. g. Documentation of route approval from the Washington State Department of Transportation ("WSDOT') if the haul route includes roads owned by WSDOT. h. Schedule of the start and finish of the moving. Fire cc: Ms. Jackie Dempere August 13, 2001 Page 4 The City has designated contact people from each' department to respond to any questions you may have and to facilitate the processing of your permits. The contacts, by department, are: Building Brenda Holt, Permit Coordinator 206 - 431 -3672 Bob Benedicto, Senior Plans Examiner 206 - 431 -3676 Public Works Jill Mosqueda, Associate Engineer 206- 433 -0179 Planning Deb Ritter, Associate Planner 206- 431 -3663 Jack Pace, Planning Manager 206- 431 -3686 We are also available to respond to any questions or concerns you may have. Steve Lancaster can be reached at 206 -431 -3681 and Jim Morrow can be reached at 206 -433 -0179. Sincerely, Steve Lancaster Director, Community Development Jack Pace Don Tomaso Bob Benedicto Brenda Holt Jill Mosqueda Deb Ritter Lt. Don Tomaso, Fire Prevention Officer 206 - 575 -4404 LSTil 1 ' I Jim Morrow Director, Public Works PERMIT NO.: -- I - 26'6 BUILDING PERMITS INSPECTIONS ❑ 00001 Progress Inspection Status ❑ 00002 Pre - construction ❑ 00003 Investigation ❑ 00004 OK to Occupy ❑ 00005 Remove Stop Work Order ❑ 00006 Follow -up ❑ 00007 Pre -Move Inspection ❑ 00050 WSEC Residential ❑ 00060 WA Ventilation/Indoor AQC ❑ 00070 NLEA Inspection/Modular Struct ❑ 00071 Mobile Home Tie Down Insp ❑ 00072 Marriage Lines ❑ 00090 Resteel [v00095 Footing Drains Q Foundation Footings Q v 00200 Foundation Walls ❑ 00250 Foundation Insulation ❑ 00300 Concrete Slab /Slab Insulation ❑ 00350 Crawl Space ❑ 00400 Shear Wall Nailing ❑ 00450 Plywood Wall Sheathing ❑ 00500 Roof Sheathing Nailing ❑ 00525 Plywood Deck Nailing ❑ 00550 Exterior Wall Sheathing ❑ 00600 Masonry Chimney ❑ 00610 Chimney Installation/All Types 19( 00700 Framing ❑ 00750 Roof /Ceiling Insulation ❑ 00800 Floor Insulation ❑ 00801 Wall Insulation ❑ 0080/ Exterior Roof Insulation ❑ 00803 Glazing Inspection ❑ 00815 Lighting and Controls ❑ 00900 Suspended Ceiling ❑ 01000 Interior Wallboard Fastening ❑ 01001 Exterior Wallboard Fastening ❑ 01110 Pre -Move Inspection ❑ 01115 Motor Inspection ❑ 01120 Pre -Demo ❑ 01140 Pre - reroof 01400 Final -Fire ▪ 01700 Final - Building 01900 Final - Reroof ❑ 03100 Site Visit ❑ 04000 Special- Concrete ❑ 04001 Special -Bolts in Concrete ❑ 04001 Special - Mom/Resist Conc Frame ❑ 04003 Special -Reinf Steel Prestress ❑ 04004 Special - Welding ❑ 04005 Special- High - Strength Bolting ❑ 04006 Special - Structural Masonry ❑ 04007 Special -Reinf Gypsum Concrete ❑ 04008 Special - Insulating Conc Fill ❑ 04009 Special -Spray Fireproofing ❑ 04010 Special- Piling, Piers, Caissons ❑ 04011 Special - Shotcrete ❑ 04012 Special- Grading, Excav/Fill ❑ 04013 Special - Retaining Wall ❑ 04014 Special -Panels ❑ 04015 Special -Smoke Control System Ze TENANT NAME: ---.J ' MALE Cu CONDITIONS Plan Reviewer: Permit Tech: 6/Ad/a: - 72 4 EK001 No changes to plans unless approved by Bldg Div ❑ 0010 Special inspection required, notify Bldg Div ❑ 001 1 Special inspector shall submit final signed report ❑ 0012 New ceiling grid & light fixture shall meet lateral bracing ❑ 0013 Partition walls attached to ceiling grid ❑ 0014 Readily accessible access to roof mounted equipment ❑ 0015 Engineered truss drawings & calcs shall be on site ❑ 0016 Exposed insulation backing material ❑ 0017 Subgrade preparation including drainage, excavation ❑ 0018 Statement from roofing contractor verifying fire retardant class of roof 0019 All construction to be done in conformance w /approved plans ❑ "No work shall be done in addition to those modifications..." 0002 Plumbing permits shall be obtained through King Co ❑ 0020 Structural observation shall be provided for this project ❑ 0021 All food preparation establishments must have King Co ❑ 0022 Fire retardant treated wood shall have flame spread of ❑ 0023 Notify Building Division prior to placing any concrete ❑ 0024 All spray applied fireproofing shall be special inspected ❑ 0025 All wood to remain in placed concrete shall be treated ❑ 0026 All structural masonry shall be special inspected [+ , 0027 Validity of Permit ❑ 0028 Rack storage requires separate permit ❑ 0003 Electrical permits obtained through L & I ❑ 0030 No occupancy of building until final insp by Bldg Div ❑ 0032 Remove all weeds, concrete, stone foundations, flat concrete ❑ 0036 Manufacturers installation instructions required on site ❑ "BTU maximum allowed per 1997 WA State Energy Code" ❑ 0035 Contact PW Div to obtain insp for water /sewer connect ❑ 0038 A C of 0 will be required for this permit ❑ 0039 Final approval for all TI w /in the limits of the SC Mall ❑ 0004 All mechanical work shall be under separate permit ❑ 0040 All construction noise to be in compliance with 8.2 TMC ❑ 0041 Ventilation is required for all new rooms & spaces 0005 All permits, insp records & approved plans available ❑ 0006 All structural concrete shall be special inspected ❑ "Applicant shall obtain a separate plumbing permit from King Co" ❑ "Anchoring — All new construct and substantial improvement shall be anchored to prevent flotation" ❑ 0007 All structural welding shall be done by WABO certified inspector ❑ 0008 All high - strength bolting shall be special inspected ❑ 0009 Bolts installed in concrete shall be special inspected ❑ 0031 Comply with requirements of TMC 16.04 ❑ 0034 Removal of septic tanks require approval and compliance with King Co Health Dept. ❑ "Obtain required inspections from appropriate water & sewer districts" ❑ "Fuel burning appliances ❑ "Appliances, which generate...." ❑ "Water heater shall be anchored...." ❑ " Reroot" Date: Date: S `3b'bl .' ��rw�}'; c4�� 'e'c�".7:F:Fr�iafirv4ia.t� s:lz`+�*,t��!"ai. tip. �a{ u, �SfiAi}u 9. �kp7�!' �1w. 23tisik`�,'3iclfiNtiGF14'.hb�1 ?.: V- 4144A 4444 fP6 '»gA 144, 41,0U kda S U .' � t N"vatf tlad7. Revision I Date No. 1 Received Staff Initials I Date Issued ' 'Staff Initials ! 9- 17-01 loft's 9'- -2a -� / Received By: 1 ,,,,i4 Summary of Revision: Romig keUJU• 0') lot I7\��lga M ell I Receive.: y: ON Received By: .al alle• r 1∎ • Revision No. ' Date Received Staff Initials Date Issued Staff 1 Initials /-25-02.- o LAW l Summary of Revision: eh j 4� -- SAS Received By: Revision No. Date Received Staff Initials Date Issued Date Issued Staff Initials q II- A3- Oa.. dec14/ 4=-1,7- -- SAS Summary of Revision: t1ei}'1 i & GVat a , L46. Summary of Revision: a cl am ) b(JyGyI' CVM I7\��lga M ell I Receive.: y: ON Revision No. Date Received Staff 1 Initials Date Issued Staff i Initials d 5 6 kka4 - 1 ( 1) e mod, L46. Summary of Revision: a cl am ) b(JyGyI' I Rece B • • PROJECT NAME: Why "' R,esidekc Site Address: 13111 40 kie. So .- Revision No. Date Received REVISION LOG Staff Initials Received Byi PERJ1�11 "� 10:. 170 l - at? Original Issue Date: 8.30 -0 1 Date Issued 0 { /0'//' 0, I S A S 10 11 0 I Summary of Revision: depspplute.. � f e . . , e t c f . opt., 1), / g / . 4 , .424 • (please print) " 1111r,YStd seSy (please print) �y (please print) (please print) please print Starr Initials 1 } TIVITY :NUMBER: D01 - 268 DATE: 10 -12 -01 PROJECT NAME: DEMPERE HOUSE MOVE SITE ADDRESS: 13217 40 AVENUE SOUTH Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # XX Revision # 2 After Permit Is Issued DEPARTMENTS: BuilNng Division re Fire Prevention ( A'p to Public Works Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (ten days) Approved Approved with Conditions REVIEWER'S INITIALS: CORRECTION DETERMINATION: Approved \PRROUTE.DOC 5/99 PLAN R EV I EW / R O UT I N G I SLIP REVIEWER'S INITIALS: Approved with Conditions n Planning Division n Permit Coordinator DUE DATE: 10-16-01 Incomplete n Not Applicable No further Review Required DATE: DUE DATE 11 -13 -01 Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) n DATE: +:;, \'3s�:�aiY. Tit:{.l sr ,(icn�iSlii'[i 4Yh> �1..1. 11�Y/ �1; b41414uri £USFtY'Mf:'�SZ�ry�.ta'b+viil )..1. Y:?gi�..a.:tielh`i.� Jr w , U O. U. tnw. w 0, g J' u_ < = a : w . H =. O' z I- LL) uj ;o w w. H U. u.� i zi F O z ACTIVITY NUMBER: D01 -268 DATE: 9 -17 -01 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Ave S SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # j After Permit Is Issued DEPARTMENTS: � CO, Buil in Division l Fire Prevention .. gb I 'OI Iti a -vb -ol Public Works, � ' Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete Comments: TUES /THURS ROUTING: Please Route 21 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: (4 weeks) Approved \PRROUTE.DOC 5/99 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Approved with Conditions REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: DUE DATE Approved Approved with Conditions I I Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: 4-1 Planning Division 14 4 et-{vol Permit Coordinator DUE DATE: 9-1 8-01 Not Applicable No further Review Required DUE DATE 10 -16 -01 iii Ix Not Approved (attach comments) n ACTIVITY NUMBER: D01 -268 PROJECT NAME: Dempere House Move /Foundation DATE: 8-23-01 SITE ADDRESS: 13217 40 Ave S. SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: 1 Building Division AWG S 2c:. of Public Works MAL €• eI DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 8-28-01 Complete 11 Incomplete n Comments: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: (4 weeks) Approved Approved \PRROUTE.DOC 5/99 PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Approved with Conditions CORRECTION DETERMINATION: C6 3 Fire Prevention 4(6..8.28. Structural Structural Review Required Approved with Conditions REVIEWER'S INITIALS: REVIEWER'S INITIALS: Pfki Planning Division Permit Coordinator Not Applicable n No further Review Required DUE DATE 9 -25 -01 ►:r Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: ACTIVITY NUMBER: D01 -268 PROJECT NAME: Dempere House Move /Foundation SITE ADDRESS: 13217 40 Ave S. SUITE # le Gad'` aI I / 72,ae-r ) a d to Incomplete Letter # .dC f ,,Z � - e-i4v �/Ae. �n Letter; *-� y,9 ‘70 k After Permit Is Issued ' dua` ' Building Division Public Works REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (4 weeks) Approved I 1 Approved with "'REVIEWER'S INITIALS: CORRECTION DETERMINATION: Approved \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP D Approved with Conditions C- l::.�a�Ii Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Please Route U Structure /eview Required REVIEWER'S INITIALS: DATE: 8-23-01 Planning Division Permit Coordinator DUE DATE: 8-28-01 Complete Incomplete Not Applicable Comments: lAteci CoKhecktpvl,Sou Jd .51 5111 t, Lock. ocMo,ll cC i�t Of( ratvn. TUES /THURS ROUTING: No further Review Required DATE: 0/26/4001 l DUE DATE 9 -25 -01 Not Approved (attach omm- ts) DATE: a e-- DUE DATE Not Approved (attach comments) I I DATE: pi ACTIVITY NUMBER: D01 -268 DATE: 8 -23 -01 PROJECT NAME: Dempere House Move /Foundation SITE ADDRESS: 1321 40 Ave S. SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete Not Applicable Comments: Y\eec Covlvtechovt c: ov- Jo«45•t0 5111 is Loc i (70U;1", II Sk- t`utc rawt. TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: PLAN REVIEW /ROUTING SLIP APPROVALS OR CORRECTIONS: (4 weeks) Approved n Approved with REVIEWER'S INITIALS: \PRROUTE.DOC 5/99 Fire Prevention Structural Structura /eview Required n No further Review Required n DATE: 0/26/2-091 ns Planning Division Permit Coordinator DUE DATE: 8-28-01 DUE DATE 9 -25 -01 Not Approved (attach omm - ts) DATE: ! p Of;19 1 I CORRECTION DETERMINATION: DUE DATE Approved n Approved with Conditions Not Approved (attach comments) REVIEWER'S INITIALS: DATE: it ACTIVITY NUMBER: D01 -268 DATE: 08 -22 -02 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Av S Original Plan Submittal Response to Incomplete Letter # Response to Revision # Correction Letter # After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete ❑ Comments: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: LDIIcknen APPROVALS OR CORRECTIONS: Documents/routing sl ip,doc 2 -28 -02 PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete C C ❑ Permit Coordinator ❑ Planning Division DUE DATE: 08-22-02 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Structural Review Required ❑ No further Review Required n DATE: 8/2,4 Z. DUE DATE: 09-19-02 Approved Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIA DATE: e .k 7. v a-- Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Boom• town ; !nicrrrop4.4. . 1' ; tiOga 'AVi:giV VA' - 40t , I+ I aM;X74'h ACTIVITY NUMBER: D01 -268 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Ave S DATE: 05/15/02 Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # ' x Revision # y After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n Comments: n �t4 Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: APPROVALS OR CORRECTIONS: Approved ❑ Notation: PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete Please Route n Structural Review Required Approve • with Conditions n n REVIEWER'S INITIALS: DATE: REVIEWER'S INITIALS: Documents/routing sl ip.doc 2 -28.02 Planning Division Permit Coordinator No further Review Required n DUE DATE: 05/16/02 Not Applicable ❑ DUE DATE: 06/13/02 Not Approved (attach comments) ❑ `t. 1 4- (0 „, TL DATE: OS / 6 • v �, Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: dz Yiuua'rt"s:M'Nt r YOB'.”, Y; dMt d∎ 4 vka,u.Derr;4/:s:a+exur+We yryt,g mow `: 00 CO a co • w w 0 } . I Cy w z1.— 1-O Z U � O t�, O H w • w 1— i ..Z O Z ACTIVITY NUMBER: D01 -268 DATE: 8 -23 -01 PROJECT NAME: Dempere House Move /Foundation SITE ADDRESS: 13217 40 Ave S. SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After. Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 8-28-01 Complete • n Incomplete n Not Applicable Comments: TUES /THURS ROUTING: Please Route n Structural Review Required No further Review Required REVIEWER'S INITIALS: 1.�3 DATE: f' ? fN APPROVALS OR CORRECTIONS: (4 weeks) DUE DATE 9 -25 -01 Approved n Approved with Conditions n Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: CORRECTION DETERMINATION: Approved \PRROUTE.DOC 5/99 n PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Approved with Conditions REVIEWER'S INITIALS: Planning Division fria) Permit Coordinator n DUE DATE Not Approved (attach comments) DATE: .. -v.:re ,:.;�s 4o�t,�.e'..�t &i f+ie':'4Yiti�dJiwa','ur id`.9ii'•�#u:.5i tilt3#ri.li3C+it.+�k;ii s'�c;.c•`.rirs+rt,{ �'2YAi\ «Jr i'rry- kM•A•ij� /�.� e )Erg ;;•Sxrhi.J.nit 3 r�t'd+ki7n'b • cw- 6 � U O' NCI; • WI w 0 2 g J u_ 1w zt • •Z O uji O 0): 0 I- w w • z U (0 0 • Z • ACTIVITY NUMBER: D01 - 268 PROJECT NAME: Dempere House Move /Foundation DATE: 8 -23 -01 SITE ADDRESS: 13217 40 Ave S. SUITE # /\ Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route ri Structural Review Required REVIEWER'S INITIALS: PLAN REVIEW /ROUTING SLIP Structural Incomplete APPROVALS OR CORRECTIONS: (4 weeks) Approved Approved \PRROUTE.DOC 5/99 Fire Prevention Approved with Conditions CORRECTION DETERMINATION: Approved with Conditions REVIEWER'S INITIALS: II REVIEWER'S INITIALS: 1 Planning Division Permit Coordinator DUE DATE: 8-28-01 Not Applicable No further Review Required DATE: DUE DATE 9 -25 -01 Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: RECEIVED AUG 2 8 21101 PLAN REVIEW /ROUTING SLIPUBLcwoRK ' ACTIVITY NUMBER: D01 -268 PROJECT NAME: Dempere House Move /Foundation SITE ADDRESS: 13217 40 Ave S. DATE: 8-23-01 SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete PI Structural Comments: TUES /THURS ROUT NG: Please Route Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (4 weeks) Approved Approved with Conditions REVIEWER'S INITIALS: _k►y- CORRECTION DETERMINATION: Approved REVIEWER'S INITIALS: \PRROUTE.DOC 5/99 Fire Prevention n Planning Division Permit Coordinator DUE DATE: 8-28-01 Incomplete n Not Applicable Approved with Conditions No further Review Required DATE: oe, Q DUE DATE 9 -25 -01 Not Approved (attach comments) DATE: n ts. 9_ G I n DUE DATE Not Approved (attach comments) DATE: 2 : 1 fs5 pl:�.;ies'E':. ce w 6 00 0 co w = CO IL W 0 ' H 0 P ; o w H V :. 0 ui Z U H = Z ACTIVITY NUMBER: D01 - 268 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Av S DATE: 04 -24 -02 Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # x Revision # L i After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route n Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved Notation: n REVIEWER'S INITIALS_ Documentshouting slip.doc 2-28-02 t oostiN PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete ❑ Planning Division Permit Coordinator DATE: 6 4. Or _o L— n n DUE DATE: 04 -5-02 Not Applicable n DUE DATE: 05-23-02 Approved with Conditions U Not Approved (attach comments) DD `� n 1 rv� e� l S-r n� 1st> a D S )V n ett S S P,4 /4i4 Je—X. Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D01 -268 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Av S DATE: 04 -24 -02 Original Plan Submittal Response to incomplete Letter # Response to Correction Letter # Revision # _ 4 After Permit Is Issued DEPARTMENTS: Building Division Public Works [xi n DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n Comments: f e.fruut. Approved n Notation: Documents/routing slip.doc 2.28 -02 APPROVALS OR CORRECTIONS: PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Not Applicable r e. :, LAI i.1 L.) 41( LA C( t e r.t r e Incomplete TUES /THURS ROUTING: Please Route n Structural Review Required REVIEWER'S INITIALS: n n Planning Division Permit Coordinator DUE DATE: 04 -5-02 Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: No further Review, Required DATE: c n n DUE DATE: 05 -23-02 Approved with Conditions n Not Approved (attach comments) n REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire ❑ Ping ❑ PW ❑ Staff Initials: dia) ACTIVITY NUMBER: D01 -268 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Av S DATE: 04 -24 -02 Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 4 After Permit Is Issued DEPARTMENTS: Building Division Public Works n Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Incomplete Please Route n Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documentshouting slip.doc 2 -28.02 PLAN REVIEW /ROUTING SLIP ( —S3 11 n Planning Division Permit Coordinator Not Applicable ❑ No further Review Required DATE: 4 2-A l bZ ri n DUE DATE: 04-25-02 DUE DATE: 05-23-02 Approved _ Approved with Conditions l 1 Not Approved (attach comments) ri Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D01 - 268 PROJECT NAME: Dempere Residence DATE: 04 -24 -02 SITE ADDRESS: 13217 40 Av S Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # I f f ' After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete TUES /THURS ROUTING: REVIEWER'S INITIALS: Documents/routing slip.doc 2 -28-02 APPROVALS OR CORRECTIONS: PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Please Route n Structural Review Required Planning Division Permit Coordinator No further Review Required DATE: y2401— n DUE DATE: 04 -25-02 Not Applicable ❑ DUE DATE: 05-23-02 Approved ri Approved with Conditions n Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 3.;;, r:; a:.,} zMF❑ �x�:. u1n`, hria. N: i=.: C9t:. ?' r' itRlkiaiYcLYitl4• oaruYdndJ�xM Orawnmv�ae �rarva:.: Wa1w,.0s.a,.vM rw. Xevarcaw -� Pg taWil ,,2?%4tnx',' • re w 6 00 . 0 : U) � J � N th 0. r� Q� • a I = - _ ;. I- 0' Z I- C3 I o L I O 111 Z: �, ± : O z ACTIVITY NUMBER: D01 -268 DATE: 10 -12 -01 PROJECT NAME: DEMPERE HOUSE MOVE SITE ADDRESS: 13217 40 AVENUE SOUTH Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # XX Revision # 2 After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: Approved REVIEWER'S INITIALS: /00) CORRECTION DETERMINATION: Approved \PRROUTEDOC 5/99 PLAN REVIEW /ROUTING SLIP Irt Fire Prevention Structural Incomplete Structural Rev' Re•uired APPROVALS OR CORRECTIONS: (ten days) Approved with o ditions n Planning Division Permit Coordinator n DUE DATE: 10-16-01 Not Applicable n No further Review Required DATE: 10— ib DUE DATE 11 -13 -01 Approved with Conditions n Not Approved (attach comments) REVIEWER'S INITIALS: DATE: Not Approved (attach comments) n DATE: `0- I ( DUE DATE ACTIVITY NUMBER: D01 PROJECT NAME: Dempere Residence DATE: 9 - - SITE ADDRESS: 13217 40 Ave S SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # )( Revision # 1 After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete TUES /THURS ROUTING: Please Route PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete Structural Rg view ,Required Comments: REVIEWER'S INITIALS:,/ APPROVALS OR CORRECTIONS: (4 weeks) Approved Approved \PRROUTE.DOC 5/99 Approved with Conditions CORRECTION DETERMINATION: Approved with Conditions REVIEWER'S INITIALS: REVIEWER'S INITIALS: Planning Division Permit Coordinator DUE DATE: 9-18-01 Not Applicable No further Review Required DATE: DUE DATE 10 -16 -01 Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: • _....,...... .4W$14. 9 X14106 41+'AVX Olio ±4,,s:Ow ?Jau' DEPARTMENTS: Building Division Public Works TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: Approved \PRROUTE.DOC 5/99 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D01 -268 DATE: 9 -17 -01 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Ave S SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # 1 After Permit Is Issued 1 n Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete n Incomplete Comments: CORRECTION DETERMINATION: Structural Review quired APPROVALS OR CORRECTIONS: (4 weeks) Approved with Conditions REVIEWER'S INITIALS: Approved Approved with Conditions REVIEWER'S INITIALS: n Planning Division Permit Coordinator DUE DATE: 9-18-01 Not Applicable No further Review Required DATE: c pi v"! DUE DATE 10 -16 -01 n Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: :mo cc JU U O cn w J H W w w O g J u- <. N om. = a 1 w Z 1-. Z� w Lu U � O N 0 H w w 1-- -- U. ui z ' r_-. I - Z ACTIVITY NUMBER: D01 -268 DATE: 9 -17 -01 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Ave S SUITE # Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # I After Permit Is Issued DEPARTMENTS: Building Division Public Works PLAN REVIEW /ROUTING SLIP Fire Prevention Structura DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete - -% Comments: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: (4 weeks) Approved \PRROUTE.DOC 5/99 Incomplete Structural Review Required Approved with Conditions CORRECTION DETERMINATION: Approved Approved with Conditions REVIEWER'S INITIALS: REVIEWER'S INITIALS: Planning Division Permit Coordinator DUE DATE: 9-18-01 Not Applicable ri No further Review Required DATE: l 'S " OI DUE DATE 10 -16 -01 Not Approved (attach comments) DATE: DUE DATE Not Approved (attach comments) DATE: i«i.lY:'61k ifti• 1. ;GSYat61+xA'wv'7 . 4aJtrM$io .1.44 .wor l?+wea'+lY iaA 4.'� vi °�1 -s ?lu ACTIVITY NUMBER: D01 -268 DATE: 9 -17 -01 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Ave S SUITE # Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 After Permit Is Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Please Route Approved Approved \PRROUTE.DOC 5/99 Comments: TUES /THURS ROUTING: REVIEWER'S INITIALS: REVIEWER'S INITIALS: PLAN REVIEW /ROUTING SLIP CORRECTION DETERMINATION: Fire Prevention Structural Incomplete Structural Review Required Jjs APPROVALS OR CO RECTIONS: (4 weeks) z , Approved with Conditions Approved with Conditions .._. i ^ ^tC..JXY' MUS�vr+x� REVIEWER'S INITIALS: Planning Division Permit Coordinator DUE DATE: 9-18-01 Not Applicable No further Review Required DATE: - 1.(` 0 l DUE DATE 10 -16 -01 Not Approved (attach comments) DATE: O 7 2 - 4 " .O ) DUE DATE Not Approved (attach comments) DATE: a9r� m yrtc+etrt i{: . X171' A' /Tle4 .e,,,, 'f' Mwr'Nh*wM'. rfr ITT. -e vAgn:Pro PAP11^.uf' ST1 APPROVALS OR CORRECTIONS: DEPARTMENTS: Building Division ❑ Public Works • 141/31 AP .2-1-or Documents/routing slip.doc 2.28 -02 iva) PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER PROJECT NAME: SITE. ADDRESS: D01 -268 Dempere Residence 1321740AvS DATE: 08 -22 -02 Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # ,_ After Permit Is Issued Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete [] Incomplete ❑ Not Applicable n Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route Structural Review Required C REVIEWER'S INITIALS: DATE: Approved d Approved with Conditions n Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: n Planning Division n n Permit Coordinator DUE DATE: 08-22 -02 No further Review Required DUE DATE: 09-19 -02 DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DEPARTMENTS: Building Division n rr1 TUES /THURS ROUTING: ACTIVITY NUMBER: D01 -268 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Ave S DATE: 05/15/02 Original Plan Submittal Response to Incomplete Letter # .Response to Correction Letter #_ 1 x Revision # y After Permit Is Issued Public Works GF,1'IM i CLU Please Route Structural Review Required APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28.02 PLAN REVIEW /ROUTING SLIP Fire Prevention Structural n n Planning Division Permit Coordinator n DUE DATE: 05/16/02 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Er Incomplete n Comments: Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required C REVIEWER'S INITIALS: DATE: DUE DATE: 06/13/02 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: nv�"s1�tr'�tr >ta ACTIVITY NUMBER: D01 - 268 PROJECT NAME: Dempere Residence SITE ADDRESS: 13217 40 Av S DATE: 05 -07 -02 Original Plan Submittal Response to Incomplete Letter # X Response to Correction Letter # 1 Revision # if After Permit Is Issued DEPARTMENTS: Building Division Public Works Complete n Comments: Documents/routing slip.doc 2 -28.02 n APPROVALS OR CORRECTIONS: PLAN REVIEW /ROUTING SLIP Fire Prevention Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete PERMIT COORD COPY Planning Division n Permit Coordinator n DUE DATE: 05-09-02 Not Applicable Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping 0 PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route C Structural Review Required n No further Review Required n REVIEWER'S INITIALS: DATE: DUE DATE: 06 -06-02 Approved n Approved with Conditions U Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping ❑ PW ❑ Staff Initials: 11-:; w i O 0- � O w = w 0 w Q. V. a = W z � I—o Z 0. c O H w ui I w f-. 1 Z 6 C5 O H Z ACTIVITY NUMBER: D01 -268 PROJECT NAME: SITE ADDRESS: Dempere Residence 1321740AvS Original Plan Submittal Response to Correction Letter # DATE: 04 -24 -02 Response to Incomplete Letter # X Revision # " After Permit Is Issued DEPARTMENTS: Buildi 'vision Lf Public Works tax(ar J M Complete Comments: Please Route TUES /THURS ROUTING: Documents/routing slip,doc 2.28.02 APPROVALS OR CORRECTIONS: PLAN REVIEW /ROUTING SLIP CaO Fire Prevention 14 4.- 445- Structural DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Incomplete Structural Review Required Approved ❑ Approved with Conditions n REVIEWER'S INITIALS: REVIEWER'S INITIALS: Ap ❑�- Planning Qivision Ma— 44440 Permit Coordinator DUE DATE: 04 -25-02 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ LETTER OF COMPLETENESS MAILED: Fire ❑ Ping ❑ PW ❑ Staff Initials: No further Review Required n DATE: DUE DATE: 05 -23-02 Not Approved (attach comments) 11 Notation: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: 5 . a - 0' Bldg ❑ Fire ❑ Ping ❑ PW E Staff Initials: LAC(,W REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date:. - 2 4 ,J° City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # 15n Revision # 4- after Permit is Issued Plan Check/Permit Number: — No S2_ \ `v, oktcN _ Phone Number: 2©rrc 4-ese Summary of Revision: 20 �0 1 jS S -S S S 1 7.E _ c6X Project Name: Project Address: Contact Person: RECEIVED CITY uf- TuKWILA ' FR 2 3 2002 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center bv: Iv ❑ Entered in Sierra on 08/30/00 City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: () as ( (sa E Response to Incomplete Letter # Response to Correction Letter # ED Revision # 5 after Permit is Issued Project Name: R'eS idea( Project Address: 1 a I � 7 ¥ TTv Contact Person: SGL Cat P Phone Number: ( Y33 ^x539 (o) s� 1 f d s� Summary of Revision: /Lt21Uel n (4- c.G1 ba e n C_T` r 1 ) iz :$ .e_e Co nctt INS /9 6 *(1 ,� 3 Received at the City of Tukwila Permit Center by: 1] Entered in Sierra on Plan Check/Permit Number: � 1- to E RECEIVED CITY OF TUKWILA AUG 2 220A2 I Li liVi LGIV RECEIVED PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision 08/30/00 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: \ —( / ( 00 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # Project Name: Project Address: Contact Person Phone Number: ? C) 1, ,S " Summary of Revision: City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 after Permit is Issued ! Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: t i Entered in Sierra on /0 ' "// - D / Plan Check/Permit Number: sti) P N rER RECEIVED CITY OF TUKWILA fig 08/30/00 114:1 _p, �rv+�.iva Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 9 � , — '` no 1 Plan Check/Permit Number: 1)0 1 ~ ze08 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # 1 after Permit is Issued Project Name: Project Address: \ y , 7 . \ S Contact Person: . Phone Number: Q. Summary of Revision: RECEIVED Sheet Number(s): CITY nF TUKWILA "Cloud" or highlight all areas of revision including date of revision ki ithfr Received at the City of Tukwila Permit Center by: SEP 17 2001 PERMIT CENTER 14 Entered in Sierra on t =) City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431 -3670 08/30/00 . r... 4n:+.:. �w4$�Ac. }.ti:�;iLS+li'= ;vCC::�: it, drj ;fJ��i;i):�wb+':'x:•c;G;',: "r f, %< .` ';r�i�l:�';w' � 'ti: ` w ' ' . ,, •41; i 1 34. A∎Vrr 'z .'ii:':tj ;' L i0:•a r City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431-3670 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date:. � o'Z3D i` Plan Check/Permit Number: O A4.?' 0 Response to Incomplete Letter # Response to Correction Letter # x ' Revision # 3 after Permit is Issued Project Name: .l� p 'e ?es rdeA C Project Address: 15R1 S �� Contact Person: .1(� e IJ&'V ip e r "e.. Phone Number: (?t V33 .3 Summary of Revision: ?04) 55i - 3 e58 Cult) rticrA e. f Stza fy ( CeotAmSpOL4.4s Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center bv: Entered in Sierra on .0.3/04 M 6() 08/30/00 14,.: . , 1. ; �;: S: f;;:: 4i.° a::: y? i.;: r. �s; k. oCiu st:: ;.wy74' a���.... ;(i:....:, m:�:�..JS ;�G:.n,:3 +ic,.,. rai'nti..t ":tin....:e.���' Stab, A. Yn(+; di i, 3�ii? t. tc�L�. �l �f.+.. �a: i.' �;: a' 4RF t ;,:.�i:r'rc�a Z' I 2 ` = U CO OQ w O` g _1 u - Q, 1- w Z F- O' ' Z ut 'U = V ; ui Z co z Certificate of Water Availability PROJECT #: PART A: (To be completed by applicant) Site Address (Attach map and Legal Description showing hydrant location avid size of main): • fe „i i tiii a iRQ h s Name: C -X E Agent' /Phone CITY OF . IiJKWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Tukwila, WA 98188 Telephone: (206) 431 -3670 O ner /Agen Si natur • 2 This certificate is for the purposes of: i� Residential Building Permit ❑ Commercial/Industrial Building Permit Area is served by (Water utility district): (Use separate sheet if more room is needed) (Use separate sheet if more room is needed) (Required only if outside City of Tukwila water utility district) Address: tkQ 2 S \ Z $ Phone: 2, Q G Estimated number of service connections and meter size(s): The improvements required to upgrade the w = sys plan or to meet the minimum flow re uirements of the A ❑ System isn't capable of providing service to this project. Otiftatact WO' Name: Address: Cl Preliminary Plat ❑ Rezone Vehicular distance from nearest hydrant to the closest point of structure 1. PART B: (To be completed by water utility district) The proposed project is located within �` r ' V .) t ,^ (City/County) I hereby certify that the above information is true and correct. Crw.4 u)a.-ter 0 ide . * IaS 111A.4.. AgenCy11 00(o- 94 -C151-1 By Minimum water system improvements: (At least equal to B2 above) ❑ Short Subdivision ❑ Other Date: D-0-1-!-Vdt Hila to bring it into compliance with the utilities' comprehensive ject before connection: Based upon the improvements listed above, water can be provided and will be available at the site with a flow of 180O gpm at 20 psi residual for a duration of 2 hours at a velocity of L• 0 fps as documented by the attached calculations. 9--a1 -bl Date PART C: (To be completed by governing jurisdiction) Water Availability: ❑ Acceptable service can be provided to this project ❑ Acceptable service cannot be provided to this project unless the improvements in item C2 are met. By Date ArCE „1 A CITY Ut- 3 r) $110.. £% / (1Ui ( ri) F.. X51.,, a' ,,, SIT CENTEI z u6 0 N o CD w CO t w o g J u- U F— z � H z t- 2 uj �O c o O O H w tu O w Z U= O ~ z 1 Part A: (To Be Completed by Applicant) Purpose of Certificate: ri Building Permit ❑ Preliminary Plat or PUD ❑ Other ❑ Short Subdivision ❑ Rezone Proposed Use: [ail Residential Single Family ❑ Residential Multi - Family ❑ Commercial ❑ Other Applicants Name: j ccL e Pc i. - 1 .,p e_ve. Phone: 2 06 — L13 j -85 Property Address or Approximate Location: 32a 90.1-ti s Legal Description(Attach Map and Legal Description if necessary): TI-. 4 73 ttO 60 - Odlo) Part B: (To Be Completed by Sewer Agency) << 1 i a. Sewer Service will be provided by side sewer connection only to an existing 6 size sewer 0 feet from the site and the sewer system has the capacity to serve the proposed use. OR ❑ b. Sewer service will require an improvement to the sewer system of: ❑ (1) feet of sewer trunk or lateral 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) ❑ a. The sewer system improvement is in conformance with a County approved sewer comprehensive plan, OR ❑ b. The sewer system improvement will require a sewer comprehensive plan amendment. 3. 11 a. The proposed project is within the corporate limits of the District, or has been granted Boundary Review Board approval for extension of service outside the District of city, OR ❑ b. Annexation or BRB approval will be necessary to provide service. 4. Service is subject to the following: a. District Connection Charges due prior to connection: GFC: $ RP, P-° "" SFC: $ UNIT: $ TOTAL: $ (Subject to Change on January 1st) King County/METRO Capacity Charge: Currently, $1090 /residential equivalent, will be billed direly King County after connection to the sewer system. (Subject to change by King Co/Metra 1TUKWII notice.) AUG 2 4 200' b. Easements: ❑ Required ❑ May be Required c. Other: PEPt'IIIT CENTEI KO A il,"1 ,1t: ,s ENVIRONMENT" IURCUWOW F / 7 0 . 9 .. v t n ' fi r '���.. %.... a1�. , L �..C1. Certificate of Sewer Availability t1Q Title 14816 Military Road South P.O. Box 69550 Tukwila, WA 98168 Phone: (206) 242 -3226 Fax: (206) 242 -1527 CERTIFICATE OF SEWER AVAILABILITY /NON- AVAILABILITY OR ❑ Certificate of Sewer Non - Availability I h - certify that the above s- er agency information is true. This certification shall be valid for one year fr date of signature. Date AUG 2001 16:39 FR BANK OF AMERICA S CENG 358 2615 TO 94313665 P.O2 t•'ULS /A1 claw' 1 . .'su rrt arum eTh �� --- • KAAA dy dee). 1Z r J1 rK b, ur NMt:K 1 t:A yids d'l5 2021 TO 3. 33597301 1 ASS IGAZE: BY: Title; Address Tax 1.0. No. This section is to be completed only when these Instructions are to be terminated, cruces teal Bank of America r(olva 0.034- ,776 - .-. . - _ySSIGh _„ _ _ • _.— TERMINATION INSTRUCTIONS WHITE: Brunch CANARY:Assignee PINK: Client instructions Pursuant to an Assignment of Account for Security Purposes The undersigned ('Assignor) by separate instrument rAssignntenr) having assigned and conveyed to ('Accignea "), its successors and assigns, ell of Assignors right, title and interest in and to that certain Certificate of Deposit held et Bank of America ('Bank`) evidenced by Account No, ('Account ") in the current principal sum of Sft■_ ('Principal') and all further deposits, interest or other monies due or to become due thereunder, and Assignor runner having authorized and empcevsred Assignee at any time, in Assignee's own name or In the name of Assignor. to withdraw and receive all amounts currently due under geld Account and to execute any and alb ir►sl►uments required for the withdrawn( of such suns, Rank Is hereby speciticaity aulhanzed and directed on demand of Ass ne to pay ail loonies thereby assigned directly to Assignee. Moreover, Assignee WWI be entitled to close Account on demand and on the enks receipt of such other documents as the Bank may require. The Assignment was given ea security for a debt owed by Assignor to Asaignoe, Tho Bank shall bs under no obligation to determine thal any indebtedness thereby secured is owing al any erne or to see that any sums of money paid to Assignoe are applied to such debt. Assignor and Assignee hereby releme, indemnify end hold Bsnk harmless for any payment made by Bank in accordance with these Instructions These instructions shall continue 111 full force and s from the data of execution by Assignor and Assignee until and including a r � el which Isms Assignment shall terminate and all interest in the remaining Account shall automatically revert to Assignor, Its successors or assigns.11 Is further understood and agreed that it no date appears in MIS paragraph. then these instructions shall continua to be in full force and effect until Assignee gives wrfnon notice to Bank that It has relinquished ell of Aosigneet right, title and interest in and to the Account and these Instructions are To be terminated. (PARTIAL ASSIGNMENT: Either Complete or Strike Ike Following:) Notwithstanding any provision herein to the contrary, Bsnk is instructed that the parties intend only 1 of the Principal contained in Account to be subject to the provisions of these instructions and to be held by Bank for the benefit of Assignee. Bank is authorized, empowered and directed on demand of Assignor to pay any unassigned portion or interest earned on Principal to Assignor, its au. eeseors or assigns as the some may become payable according to the terms of the Account. } IN WITNESS WHEREOF the parties have executed these Instructions this 'a1littgi ^ti , *t .7 > Atsir�k " •'`'i�d1 ":;:a4.44,1 t3kti'i.144`A''.. The above instructions are hereby eeknOV ter1ged. The signatures) of the Assignor- Oeposltor(s) corrospond(a) to our records. The balance of the Account rot ronced above rs S es of this dale ...` vuoi Bank of America Title: DATE: The undersigned Assignees having released and relinguished all of Assignee's right, title and Interest in the above-numbered Account, Bank is hereby notified of same and directed to terminate hereafter the instructions appearing above. Signature of Assronee: TIIIe: ** "Fi A r PAF4 . 912 ** ** TOTAL PAGE.02 ** AUG 29 2001 16:38 FR BANK OF AMERICA S CENG 358 2615 TO 94313665 Fax Cover Sheet Ta 26/64, //0 ComPanY: ey el- MC.G!/1 Message: /LW i5 44 t Telephone Number Fax Number: Lib , !73 f , 364c Date: t � i, From: Stu. i [ Q. 7 „, Department: s eidiAcerazA Telephone Number. . 246 3 . �60 Fax Numbers .2,e* ,a51, Number of pages vtdudmg this cover sneer tftransmtss>on problems on= please calI: P.01 BankofArnerica • The information contained in this FAX message is intended only for the confidential use of the designated recipient named above. TMs message may contain contractual and propnetary information and as such is privileged and confidential. If the reader of this rneasage Ls not the intended recipient or an agent responsible for delivenng it to the intended recipient, you are hereoy notified that you have received this document in error, and that any review, disseminadon, dtstnbudon or copying of this message is setogy prohibited. if you Have received this communication in error, please notify us lmmeolately by telephone. ;41: -45,. ct. :Hi+ t:.l;'(310: ie4 UNDERGROUNDING AGREEMENT WAIVER TO UNDERGROUNDING ORDINANCE OBLIGATION FOR FUTURE UNDERGROUNDING The proposed development at: \ S Z \ 4:\-- 0 , e . S (street address) Parcel Nol (O Co O -Oc1e,\ requires undergrounding per Ordinance 486, 924 and 1321. In compliance with the requirements of Ordinance No. 1607 the property owner of this single - family development has demonstrated application of the Underground Ordinance will create undue hardship if carried out as part of the development. The Owner is obligated to participate in funding future undergrounding improvements for their proportionate share of said undergrounding fronting their property. Furthermore, if the L.I.D. /U.L.I.D. process is used to carry out the construction of this undergrounding, the Owner waives the right to protest L.I.D. or U.L.I.D. formation for this undergrounding. Owner retains the right to contest the method of calculating assessments in such L.I.D. and the amount thereof to be levied against the Owner's subject property, and other property owned by Owner which would be within such L.I.D. This Agreement shall be recorded by the City Clerk with the King County Auditor as required by Chapter 35.91 RCW and the cost of said recording will be paid by the City. This Agreement shall be binding upon the parties, their respective heirs, legal representatives, assignees, transferees and successors. This Agreement runs with the land. OWNER: • \ner 'signature) \D- - \ '\- -Zoo Date 3NC \ E , tt \A't 20 4 c �� G Owner (print name) Phone 16 \ - n - S Q-1). \ s3 - VtN Street Address Page 1 of 2 City, State, Zip 1 (uoo) Doi -fib? mow; U: Uo N o. w = N LL; w O: ga l LL Q co = 0, ▪ w z �. o z �. w • w 0. o N ;o H. w 1 U LL o w U N; O z • • sc • STATE OF WASHINGTON 4 Address: Parcel No.: )-S4c o-'()a\lb Owner: -t;N V_ \ L- County of to be known to be the • ivi • ual(s) described in and who executed the within and foregoing instrument, and acknowledged that signed the same as \Nr2_ free and voluntary act and deed, for the uses and purposes therein mentioned. Given under my hand and official seal this CR day of On this day personally ,,,,, ■ ,,,,,, _•..■ ,,,,,,,,, .. . 1 t. . s .. 4 .:• 194 . ; 1 1 1 . 47 ..1 11# ,\ 0 . . t •, tr. i 4.. OT A ii k ';:a S VI : • Ca .6 • -0 ... = l) • • • • ... 1 . A t,„ 7 0 1.. .tf.• : : ... . t, ".. . .. 7 ■ 7 -.' : ** cl Z c. :: . I. : . .;■i ,. CITY OF TUKWILA: lic WoNs Director 4'4 ) ss red before me Undergrounding Agreement Waiver to Undergrounding Ordinance Obligation for Future Undergrounding Print Name NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON. RESIDING AT V ..l.CAa k CO My commission expires kcx-ei 2.- Page 2 of 2 „ • • . - ..„ . • r- ?cc 1 Date (doc17) SECT701 < >2 (to be.complet • ii• tX staff);:;;: « > > > THIS FUND IS AUTHORIZED TO BE ACCEPTED. � '' / ��� DEPARTMENT HEAD: SIGNED: j t'.ijf -. , •t \`'/ ,_ :. w AMOUNT: O CASH X. CASH EQUIVALENT DEPOSITED THIS DATE: e---m —v/ CITY RECEIPT NO. a �G j J A f �,.f dde'e' RECEIVED BY: 4 I' ,V.—' ......:iJiviJCQ P\xlnvr:vnv s. YX+. wa% 9. xY. :vn:.ww.wH::.:•..v.,,:wwm,Y. tiff ,w:x.+.,•.•.Ym:w. 4m: Ov3mJrnxx :x,v \v.Yn::w` \h. ,Ynxn,:v vvwx w >. ..474.,:::Y...Y7, + vv ?h,ln7N: \iJ...is i.X4 iNtA \„Ymm'OL4:;Y............GFXnv ....riii..... 4i<4......Aik}.. 1 • NAME OF DEVELOPMENT: DEVELOPMENT ADDRESS: \ `Z,'7 \ 4T) (4 .�„\,t,,,Ac) PERMITNO.: C � 1 _ •.�a *\" p TEL. NO. ? r6E) — ADDRESS: CITY /STATE/ZIP �` \C DESCRIPTION OF ITEMS TO BE COMPLETED (REFERENCE PLANS/DOCUMENTS WHERE ITEMS ARE DESCRIBED): CASH ASSIGNMENT SHALL BE REFUNDED BY MAILING TO: (please print) As the owner, or authorized agent oft owner, I hereby submit cash or cash equivalent in the amount of $ 9 ��1—'� of value to complete work described above) and attach supporting _do e tion for value of work. .4 will have this work carried out and call for a final inspection by this date: ), or risk having the City use these funds to carry out the work with their own contractor or in -house manpower. If I fail to carry out the work, I hereby authorize the City to go onto the property to carry out completion of the above deficiencies. I further agree to mplete all work listed above prior to requesting inspection and release of• these funds. ..........:.::::. ............ ..........:.:..:.... o be :completed by develo 72 HOUR NOTIFICATION FOR INSPECTION AND RELEASE OF FUNDS DEVELOPER'S REPRESENTATIVE: CHECKED BY: e completed:; by Clty Anwee. vAMhvw:. waw. vCvxNVMxxx ,,,::xervAvvrweve.wM1•.v.. , wMVnW }..NVrre.N. :wANwoivn.vel. n .v. taif cornp by C1ty sra CASH CITY CHECK NO. AMOUNT: CASH EQUIVALENT— LETTER AUTHORIZING RELEASE RELEASED THIS DATE: RELEASED BY: , FINANCE DEPT. :J .,. Ax: A,x.w.,,xvm.x•A „vr::.:wA•A, nv., A:.x,:r.:vmxvAV.t, A:x„x,,..v:.,x•A•.v.,,..:.. AvA nwAwi:C 4: 4X• X• X• k« ivi4:: tiL K': 6: 9Ci•: is6i:<•: vritiiti4: :Ni+nitiitititi4ii{ii[iitifti»•iiiJ: iii•: iititiiittitiitiwriiri • %: i:LriiL'::<:ri<•:i•:•ri+ri < i,4<i { tw:iii:i <iK•riLiiiG'• Upon completion through Section 2, Finance personnel shall send copies to: — Developer — Finance Department — Permit Coordinator, DCD NAME; City of Tukwila DEVELOPER'S PR►JECT WARRANTY REQUEST FORM SIGNciar* — TITLE AUTHORIZED BY: All work identified in Section 1 of this form has now been completed and returned to department which authorized warranty. I hereby request inspection and release of my cash/cash equivalent. Upon completion send copies to: DATE: DEPARTMENT: I have reviewed the above work and found it acceptable and therefore authorize the release of the above cash assignment. WOO. NW. OA Y„x.xi, r.. m.i.,m:m AV A,:A.:mx,x„ •wv.X of entire form, Finance personnel shall — Developer i — Finance Department L i C `'� — Permit Coordinator, DCD W s o ei ti ;'.' 44 .1 Bank of America redacted Instructions Pursuant to an Assignment of Account for Security Purposes The undemigned ("Assignor') by separate instrument ('Assignment') having assigned and convoyed to ` -, ��% �'� CC( �C� �C�CL ('Accigneo "), its successors and assigns, all of Assi nor's ri ht line and Interest in and 10 that rteln Certificate of Deposit held at Bank of America ('Bank`) evidenced by Account No. (`Account') in the current principal sum ol $ ('Principolr) end all further deposits, interest or other monies due or to become due thereunder, and Assignor [driller having authorized and empowered Assignee al any time, in Assignee's own name or In the name of Assignor, to withdrew and receive all amounts currently, due under said Account and to execute any and all instruments required for the withdrawal of such sums. Bank is hereby specilically aulhodxed and directed on demand of Aselrroe to pay all monies ov thereby assigned directly to Assignee. Moreer,' Assignee ahell be entitled to close Amount on demana and on the anKO receipt of such Omer documents as the Bank may require. The Assignment was given ea security for s debt owed by Assignorfo Assignee. The Bank shell be under no obligation lo determine that any indebtedness thereby secured is owing at any lime or to see that any sums of money paid to Assignee are applied to such debt. Assignor and Assignee hereby release, indemnify and hold Bank harmless for any payment made by Bank In accordance with these Instructions. These instructions shall continue ln hill force and effect from the dWe of execution by Assignor and Assignee until and Including -�- -" al which time Assignment shall terminate and all interest in the remaining Account shall WON 'Caw automatically revert to Assignor, Its successors or assigns. it Is further understood and agreed that if no date appears in this paragraph, Men these instructions shall continua to be in full force and effect until Assignee gives written notice to Bank that It has relinquished alt of Assignee's right, title end interest in and to the Account and Mae Instructions are to ba terminated. (PARTIAL ASSIGNMENT: Either Complete or Strike the Following) NoN ilhstanding eny provision heroin Is the contrary, Bank is instructed that the parties intend only 1 '2/ % /'L' d1 the Principal contained in Amount to be subject (0 the provisions of these instructions and to be held by Bank for me be/relll of Assignee. Bank is authorized, empowered and directed en demand of Assignor to pay any unassigned portion or Interest earned on Principal to Assignor, ileac- sass= or assigns as the same may become payable according to the terms of the AetoUUnL IN WITNESS WHEREOF the ponies have executed these Instructions this - ' ?CA a.te.OfJ- (1f ASStGft;°5.'r f'2 /. • vane L TCKCC`(CC(_ ___,._ASSIGNO ��k - By: e.), (•s,'(7, Title: Pt r � 3 ic %r v%1'(�,ru,( Address: ! ^ 't- '�SC? �r�11eC.2,'.:r; Tax I.D. No. J «L 3' s. ��c r � Tea to//J IDA The above instructions are hereby acknowledged. The signature(s) of the Ass 'ggnor•Doposltor(s).corrospond(a) to our records. The balance of the Account ralerenced above re s 2 997 - Ca is 01 this dale aL %rr, LC.C( X11 -� � -Z.l. C / sir .. / 19.4 Tile• k /CC /'/'(7S /CL.'R.E Ctrl d Z51,/. 4.4//16 /'Ltl /)"l!L /!arf'.V Bank of Arperiea By: This section is to be completed only when these Instructions are to be terminated. TERMINATION INSTRUCTIONS DATE: The undersigned Assignees having released and relinguished all of Assignee's right, title and Interest in th0 above- numbered Account. Bank is hereby notified of same and directed le terminate hereafter the instructions appearing above. 0R•29e11 114> Signature of Assignee: Tloe: WHITE Branch CANARY: Aeolone° PINK: Client .xkM.r::S.wi'6S:J^m s..vs..,,.mw .4.frtikt+ sarnrwt..da� 2 W 0 00. 0 w= N LL W0. 2 J co d SW ?r 0 W1- uj U0 OH W W F LL0 w Z V il. z M I . IMF l . t { r r , i ; ,., „ " , 1: .1. r , . k = }±: ..{:' "•t: ,,,, II"i ; „ 7.C. ` : F. - S 1 Jry� a t : � • JP ..4 .+.4 .xw1 Wr1f1t r. uNha I!4r+ v .1. . •' • • r „ ' .: ' ••. ••• . • Y • j . dnM :+2Hn M tao :Lnnu9: 'Mai W i t�ri J a d 4 tit. +' /i..r.. •., . _ , • . I 1 } n S� t a ia.! :' Tl k iT+��l 4• �1 ,i( EI . ;1 .. a. 1 . , : �tB. •r ,+ },• r ; •,, . pia a , tt • �� ji , ' ;4 • : k � ..a rl ' t. .' 1'• , 1 " :. r ..,; . • .. ; . • 1. • 7. .' � : . • : x': ..v. •:±. •! iS q..ayrrl+t l s 'I �., '1;' r. :-., �1,” ..'• q t '. : T.d . 1 1f ' 2t1Lwl �fn n . 1 ,+ . J+ • ' ,s • • u .. r : ' .� 1 da' • .� . r. f :i : • • i... ., �J . • .0w? :..:_ .L i•m • 0 materiel )s. guaranteed to be as %pacified, and the above work to be performed In accordance with . the drawings nd . 'aPeeifiselito rle'.'^'.ew milted ' • lar : • above • • -wi,rkk and oompiated in a subeiantis1... w.orkmenilkti. • maea .% .tear • ».• t1* .311M ;'cafe Dollars (S ) Rh payments to be made as follows t d Iii., 0/c *rl,4i• Reepecttul!y submitted �` • .. sl Ti llrsMon or ***San from *Woo e00416oao.ns Involving *afro coot* PI* Pxoc111od orsy :tpOn written order, and wI11 b.aom. on It CtiI VU tr IV ono .Rove Po .stimiW. NI sproorrl.nto oontingw W upon sdacll tklento. « **so bow., CO' aontrd, Per Note - Thls proposal. may be withdrawn °-�— by us it not accepted within an days 08/20/2001 10:33 2067847522 at s / e.•••-) c((7, ROPOSAL SUBMITTED TO: im E • do 'HONE NO. 443-3 _ g.57.1* MARKET ST PHARMACY PAGE 01/01 WORK TO BE PERFORMED AT: `ADDRESS : , CITY, STATE DATE OF PLANS ARC ;;. "c 1'�.; ° °" .j► ;l' r'i ° <`` '�J4�CCEl : . CE DROROf O$ E vtlt :a • is iQne: and ! coma eie atisfacto ,; ";: e .. l , '; � : • ::.:.$:';. � . '" : ;. �: ,: � • ptif pnd satisfactory and are •iler•by acce authorized { db`ttie vr6rk.+1 rymanie biidl Ibo •maids as owttine+d abor • Signature S ign atu re PROPOSAL RECEIVED CITY OF TUKWILA AUG24 PERMIT CENTER OWNER'S STATEMENT ner's Signature \ E L Owner's Name (please print) 0411 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. 21 4-n Date Permit No. RECEIVED CITY OF TUKWILA AUG 2 4 2001 PERMIT CENTER 1 MOVING CONTRACTOR'S STATEMENT • I will move the structure in Gil 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. actor's Signa re #444 lie■e Contractor's Name (please print) 061(dCite 4771 [permit No. Date WA State Contractor's License Number Expiration RECEIVED CITY OF TUKWILA AUG 2 4 2001 PERMIT CENTER boi-avis r.: CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplan(aci.tukwila.wa.us AFFIDAVIT OF OWNERSHIP AND HOLD HARMLESS PERMISSION TO ENTER PROPERTY STATE OF WASHINGTON COUNTY OF KING The undersigned being duly swom and upon oath states as follows: I. I am the current owner of the property which is the subject of this application. All statements contained in the applications have been prepared by me or my agents and are true and correct to the best of my knowledge. 3 . The application is being submitted with my knowledge and consent. SS 4. Owner grants the City, its employees a ents, engineers, wicac property, located at • for the purpose of applica ion review, for the limite rs or other r .resentatives the right to ter! er upon Owner's real CI) time necessary to complete that purpose. 5. Owner agrees to hold the City harmless for any loss or damage to persons or property occurring on the private property during the City's entry upon the property, unless the loss or damage is the result of the sole negligence of the City. 6. The City All, at its discretion , cancel the application without refund of fees, if the applicant does not respond to specific requests for items on the "Complete Application Checklist" within ninety (90) days. 7. Non - responsiveness to a City information request for ninety (90) or more days, shall be cause to cancel the application(s) without refund of fees. EXECUTED at (city) (Address) (Phone Numb nature) bofr rte$ r �t(state), on 2-6\-- 2 (Print Name � � . z, S . \ 2� � ' � \ J4, , 200/ On this day personally appeared before me Jackie Del�pe!'e. to me known to be the individual who executed the foregoing instrument and cknowledged that 11_41 signed the same as his(j)voluntary act and deed for the uses and purposes mentioned therein. . SUBSCRIBED RE ME ON THIS 21 /±A DAY OF /4cCA u 51 C�%G<.t¢, c2. tL4.cc,fi ✓ RECEIVED CITY OF TUKWILA NOTARY PUBLIC in and for the Sate of Washington � r esiding at R e»'fin, 4Wa 4 ,i G it) 11 AU 2 4 2001 I j My Commission expires on 6- /6 ' 0 i i i ?'/" 1 I� • C �'WAS�" —= PERMIT CENTER ■ l t i'tF.t *« �fk.'.��i.:s'w.Y,`K:. v�'.,�..d:•. ............................. .::: :: .. tedtoritactverson.::::: ,, ,:;:::,:::'::...,'..::::.:;x.:::::::.?: . a t e? ,...:: : :::•::: : ::::::::::: : ::: : ::::::: : ::::::: : : : : : ::: '''''? .• .. • ''''''''':::::::*:::::::::::::::::::::::::::::::::::':::':: ii:xiiii.::::::;::::::;::.:::i.'-:-;::::•:.s.:.: .1 ..: . la • ....;.......:.::..:::::::'...::*:::::::.*:*:*•*,:::::: , • lIC il, (' ica4-'' 06' 4 3.3' qS 1 . .. . . i . 1 Need Current Contractor - Registration Car • . eed to Enter Contractor Information in Sierra: n Yes ISEERISEREMEMENIMMIMINI EffigffitSMINEMINI . :: :: i ::i ?' #: '•':5: 3 :; }:? ::; ::;':::f r':::$ ii:: :' ' ::5 ::;:::':; iSi :.,:::f:::::::5:.'•;:: R::: •`d ..CIJk : f �:�'? n a ..t' :s. • >3::: >:`•.' :•: 2;:::t; i: i::;' <:: ;::i• i:•: . C�tarte> :: >is•: isi•:•: t•:i: tt.::.:.;' :.::::::.�:::::•: ::.�:...: :: :; <j f...: S , aff )t f`i . a to.z., q- a o -oi a4-- poh 433-8539 eed Current Contractor Registration Card : eed to Enter Contractor Information in Sierra: D Yes �QQ W ., ct Wes .J U U 0 '. U) W, W =: W 0 } ' J '_ u. Q N D ; I--W Z �. F- O Z 1- ';. W W 2 D U O ':. • - O F 141 W _ 0 . Z . U _co ~ 0H z • ��.� .. {: {� •, \Y:•2 ;h ". i2' Vii. :•Il.S. 3 °dw ' '` J 1 : py w.)/ & "OitC1 4111 a File: DO 1 35mm Drawing# 0 INCH CHINA I1liji I I I I I I I I ITITI 1 2 3 a . .„ .y,: :, 5 6 5l. bl £I Zl 1 IIIIIIIII 1 IIIIIIIII 1 IIIIIIIII 1 IIIIIIIII 1 IIIIIIIII1IIIiIIIII1IIIIIILII1IIIIIILII1IILIIIIII11111li llir11J111lii1Iliiliill lllllll►1I llilllllll lllllilill l P ROPERT`t LINE 4 RECEIVED . • i. CITY OF TUKW ILA NC)" Z4 NM cs PERMIT CENTER File 35mm Drawing# • • I understand that the Plan heck . approvals are subject to errors and omissions and approval of plans does not authorize the violation of any adopted code or ordinance. Receipt of con - tractor's copy of approved plans acknowledged. titk0A-` M ' v{ ; ip! IK2 + ':�'1>i►_�►' - • ..fi t . ' , sx � p 'n "•r ._..; T S 4 y " _ ._ " . - . ��f,i".�•� � ✓ .. � .`1 .�.�1: M_'i.�i4 -\\e rel W eC 7 a T I' 3 CXANC:.ES SHALL BE MADE TO , 41 OF WORK WITHOUT PRIOR L'`. OVAL OF TUKWILA BUILDING DOVlS 1. NOTE: REVISIONS WILL REQUIRE A NEW PLAN SUBMITTAL AND MAY INCWDE ADDITIONAL PLAN REVIEW FEES. 1 1 1 1 1 1 , 1'1 1 1 , 1 1 1 , IiI T1 0 INCH 1 CHINA 2 3 I'1 prio tr.rr,` 4 5 1'1' 51. bl £l Zl 5 17 E Z . 1111111111111111111111111111111111111111'11 11111111111111111 111111111111111(111il I 1013 o ... . I II�111II IIUlllllllllllllllllllllllllllllli�lllll Ar ?. t; ''{{i !y; CITY OF TU MIT. CENTER V I z I\ 11: 9 111111111111111111111111111111111 qhi 2 3 4 5 1 2 13 ) 14 15 11111111 o 1 Z • HON! 1 11 1 I I I I I 1. 1 I 1 1,0 I I I I I 1 1 I 1 11.1 I I I 1 ,1 1,1 I Ili I jj 1 !II 1 ol 1111111 41 1. 1 1 111 . 1 . 111 I l:.'1-11'11'1'1.1'11C11.''I111,111111, ,11.11,1111,1.1 • "..; • • 1 f" • . 1.1.1• 1 g 0 1 1 % 131 4 4■5 .,. TO P 4." 9 • • • 1111 - 1 - 1 - lip - i - r.11 - 111'11 . 111111 . 1111111 . 111 Ifilliii1111111 i1 il1 gifil1111.1111111111111111111'111in INCH , , 1 5 CHINA ' 6 r . Sl VI. EL Z1 , E i - Fib'0 111111111111111111111111111111111111111111111111111111111111111[11111111111111.11.111111111111.11111111[11111.1111111.111111111.111 Pst ES4 -1 1 o tki tWo t4.1 I • • • r