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Home My WebLink AboutPermit 5004 - Halverson Lindell - House Demolition• CITY OF TUKWILA (, Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Work to be done Site Address Building Use Property Owner Address Contractor Address Demolition (bldg) 4621 S 134 St Residence Halvorson - Lindell 5103 190th P1 N.E., Redmond, WA Owner BUILDING PERMIT PERMIT # <, Q O Control # 87 -3$ Suite # Assessors Same as_.above FOR BUILDING PERMIT ONLY Tenant Halvorson-Lindell Account # R201920 & R201921 Phone # 868 -0849 Zip 98052 Phonel Zip S • Ft. ist —FT. Office Storehousrage/ e �la Retail Other IOcc. Load] 2nd F1. 7 7,Tri . Total Fire Protection: ❑ Sprinklers ❑ Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ sq. ft. @ sq. f t . @ sq. ft. @ 1st F1. 2nd F1. other other Total Valuation of Construction Bldg. Permit Fee Plan Chock Fee Demolition Surcharges Other Other TOTAL $ 6,900 Receipt #/6 $_ o .00 Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt # $ $ 30.00 FOR SIGN PERMIT ONLY ❑ Permanent J Temporary ❑ Single Face [[ Double Face ❑ Wall Mounted ❑ Free Standing ❑ Other Building face Setbacks: Front Side Square Footage of each sign face Special Conditions Side Rear Total square footage of sign Ammmmwmumwomr THIS PERMIT BECUMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WO: WILL B COMPLIED WI WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 0 CANCE PP.OVI NS 0 OTHER STATE OR LOCAL LAW REGULATING CONST UCTI0J1 OR THE PERFORMANCE OF CONSTRUCTION. Sig; °�, / �i a Date / LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of t!+,: Business and Professions Code, and my license is in full force and effect. Ccntractor (signature) Date OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not +ntended or offered for sale. ( ) 1, as owner of the • perty, �► sivel ntract Owner (signatu icensed contractor's to constr t th project. Date___ CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT PERMIT # - Control # 87 -3a Work to be done Demolition (bldg) Site Address 4621 S 134 St Suite# Tenant Halvorson - Lindell Building,Use Residence Assessors Account # R201920 & R201921 Property Owner Halvorson - Lindell Phone # 868 -0849 Address 5103 190th P1 N.E., Redmond, WA Zip 98052 Contractor Owner Phone # Address Same as above % Zip FOR BUILDING PERMIT ONLY I/ S • Ft. Tit—FT. Office Storage6 s e/ dar Retail Other Occ .. Load 2nd F1. rTfl Total Fire Protection:[] Sprinklers J Detectors toning' Type 'of Special Conditions Fees sq. ft. @ sq. ft. @ _ sq. ft. @ sq. ft. @ 1st F1. 2nd F1. other other Total Valuation of Construction Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other -TOTAL ----- _ . $ _ $ 6,900 Receipt #'2,/,() $ 3(1,(1(1 Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt # \/ $ FOR SIGN PERMIT ONLY 0 Permanent 0 Temporary ,. J Single Face [[ Double Face- j Wall Mounted Building face Setbacks: Front Side [] Free Standing Side [[ Other Rear .Square Footage of each sign face Total square footage of sign Special Conditions NOR THIS PERMIT BECOMES NULL ANU VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 1S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT l HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK, WILL BE.,COMPLIED WITH•WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 0 "CANCE 7 TH(� PROVIS30NS OF „• NY% OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION' OR THE PERFORMANCE OF CONSTRUCTION. (( �� , ,1”, !( Signed_- '4"14' - /f/l 1 , /5 ;'• ;. /te: Date (% I i LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of t`'. Business and Professions Code, and any license is in full force and effect. Date Contractor (signature) OWNER- BUILDER DECLARATION ( ) 1, as owner of the prcperty, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) 1, as owner of the p operty,,am e cIysively contracting with /licensed Owner ( signatufe) ° , . tir :.! ) . = =_ , •".., i:� ,�; , contractor's to constru,t the/project. Date ,F' — — Wy.GRti+A'CeYYSYraaxla9 :Y,.1Nl:4wr. -. rea�.1e'rr:t; t.aw: CITY OF TUKWILA Building Division Tukwila,,tWishinatonul98188 (206) 433 -1849 Type of Inspecti�n—'_Pek o Site Address 6/6..57- 5o, /3 INSPEC tt RECORD PERMIT # —COO Date io /� 5/F7 Date Wanted /0/8% a.m. Project !T' /porsoyi - -2iti.14// Phone # Requestor p.m• Special Instructions Inspection Results /Comments: •Inspector 72fre /rt-sr-y7 Date O F7 QL '4?dZy3311'rri4c'C',*.valrf.w 4... CITY OF TUKWILA Building Division 6200 Tukwila,tWashingtonul98188 (206) 433 -1849 Type of Inspection Site Address yc A / Requestor Special Instructions h^ �. �b�+ riviWrYn. J1K:] bu+t LKfSiUSt4� I.IMOnSHJ.'d+YrXi'Mfi;1P�t,APa '.. Y' lOthN�l`. tl3 ii4,H ;4.5:'.T,{"�'.Sj$� +7:V��i Ji4r }�ill�,��1 .:t 1 INSPEC1 `R>>N RECORD PERMIT # 3-0 d `( Date 9— 17 -- 7 Date Wanted' 9 -a-s, /.3y Pl Project L rl,dti( .,k1c,L-1-ci( Phone # yGy - OpYq If► ct cr�s,.. . Inspection Results /Comments: Inspector *1/21 Date V j /7'7 FIREMAN'S FUND AMERICAN INSURANCE COMPANIES FIREMAN'S FUND IN .i:E COMPANY THE AMERICAN INSUR ,.mac COMPANY NATIONAL SURETY CORPORATION ASSOCIATED INDEMNITY CORPORATION AMERICAN AUTOMOBILE INSURANCE COMPANY HOME OFFICE: SAN FRANCISCO, CALIFORNIA LICENSE BOND No. 6456089 KNOW ALL MEN BY THESE PRESENTS: THAT WE, Halvorson - Lindell as Principal, and Fireman' s Fund Insurance Company a California Corporation with principal office at 1700 First Interstate Ctr. , Seattle 98104 as Surety, are held and firmly bound unto The City of Tukwila, Washington in the sum of Four Thousand Six Hundred Twenty and no /10(jOLLARS ($ 4,620.00 ), for the payment of which sum, well and truly to be made, we bind ourselves, our personal representa- tives, successors and assigns, jointly and severally, firmly by these presents. SIGNED, SEALED AND DATED thisl5.tMay of September , 1987 The Condition of this obligation is such, that Whereas Principal is desirous of obtaining a license the City of Tukwila for demolition of a building located at 4621 S. 134th P1., from Tukwila, WA, 98168, and restoration of the property per Ordinance No. 1393. commencing on the 15th day of September , 19 87 NOW, THEREFORE, if Principal shall, during the period commencing on the aforesaid date, faith- fully observe and honestly comply with such Ordinances, Rules and Regulations, and any Amendments thereto, as require the execution of this bond, then this obligation shall become void and of no effect, otherwise to be and remain in full force and virtue, Halvorson- Lindell Fireman's Fund Insurance Company Surety rysr)caa -s.ss Attorneyln•Fact Barbara Batson ATTORNEY FIREMAN'S FUND INSURANCE COMPANY • KNOW ALL MEN BY THESE PRESENTS: That FIREMAN'S FUND INSURANCE COMPANY. a Corporation duly organized and existing under the laws of the State of California. and having its principal office in the City and County of San Francisco. in said State. has made, constituted and appointed. and does by these presents make, constitute and appoint JOHN N. ZEFKELES, GUY H. BOCKUS, JR., VICTOR E. PARKER, LAWRENCE J. NEWTON, CYNTHIA L. SCOTT, PETER H. HAMMETT, CINDY E. PAULSEN, BARBARA BATSON, LIESE HUTCHINSON and CARL NEWMAN jointly or severally its true and lawful Attorneyls)•in•Fact, with full power and authority hereby conferred in its name. place and stead. to execute, seal. acknowledge and deliver any and all bonds. undertakings. recognizances or other written obligations in the nature thereof and to bind the Corporation thereby as fully and to the same extent as if such bonds were signed by the President. sealed with the corporate seal of the • Corporation and duly attested by its Secretary. hereby ratifying and confirming all that the said Attorneyls)•in•Fact may do in the premises. This power of attorney is granted pursuant to Article VIII. Section 30 and 31 of Bylaws of FIREMAN'S FUND INSURANCE COMPANY now in full force and effect. "Article Vlll. Appointment and Authority Assistant secretaries. and Attorneyin•Fact and Agents to accept Legal Pro and !stair Appearances. Section 30, Appointment. The Chairman of the Board of Directors. the President, any 1'ice•President or any other person authorized by the Hoard of Directors, the Chairman of the Board of Directors, the President or any Vice•President, ma). from lime to time, appoint Resident Assistant Secretaries and Attorneys•in•Fact to represent and act for and on behalf of the Corporation and Agents to accept legal process and male appearances for and on behalf of the Corporation. Section 31, Authority. The Authority of such Resident Assistant Secretaries. Attorne)s•in•Fact, and Agents shall be as p ibed in the instrument evidencing their appointment, and any such appointment and all authority granted thereby ma) be resiked at an time by the Board of Directors or b) any person empowered to make such appointment." This power of attorney is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of FIREMAN'S FUND INSURANCE COMPANY at a meeting duly called and held on the 15th day of July. 1966. and said Resolution has not been amended or repealed: "RESOLVED. that the signature of any Vice•President. Assistant Secretary. and Resident Assistant Secretary of this Corporation. and the seal of this Corporation may be affixed or printed on any power of attorney. on any revocation of any power of attorney. or on any certificate relating thereto. by facsimile. and any power of attorney. any revocation of any power of attorney. or certificate bearing such facsimile signature or facsimile seal shall he valid and binding upon the Corporation. IN WITNESS WHEREOF. FIREMAN'S FUND INSURANCE COMPANY has caused these presents to he signed by its Vice•President. and its corporate seal to be hereunto affixed this STATE OF CALIFORNIA COUNTY OF MARIN 14th day of .s Bs April 19 _.R FIREMAN'S FUND INSURANCE COMPANY On this 14th day of April , 19 86 . before me personally came Richard Williams to me known, who, being by me duly sworn, did depose and say: that he is Vice•President of FIREsIAN'S FUND INSL k4M AM.!: COMP , the C'or• poration described in and which executed the abose instrument: that he knows the seal of said Corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Corporation and that he stetted his name thereto h) like order. IN WITNESS WHEREOF, 1 hale hereunto set my hand and affixed my official seal. the day and )ear herein first abase written. 11118111111111111181111111111111111111111111891111111111N11111111.11 SUSIE K. GILBERT NOTARY PUIItC • CALIFORNIA Prin. ipal ONice in Marin Count, M� Commiuien bakes Nev, IT, 1911 �unnuuwnuuustnusansuuuutouwssus :utms STATE OF CALIFORNIA COUNTY OF MARIN 5', CERTIFICATE %alai% r u'I,, I. the undersigned, Resident Assistant Secretary of FIREMAN'S FUND INSURANCE COMPANY. a CALIFORNIA Corporation. DO HFREH1 CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force and has not been resohed; and furthermore that Article %'lll, Sections 30 and 31 of the By•laws of the Corporation, and the Resolution of the Board of Directors, set forth in the Power of Attorney , are now in force. Signed and sealed at the County of Marin. Dated the 15th day of September , 1987 380711 •F F •5-81 Resijcni ao i aoi tir■retars • �7 City of Tukwila PLANNING DEPARTMENT 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 October 16, 1987 . Fireman's Fund Insurance Company c/o Frank Lindell 5103 190th P1 N.E. Redmond, WA 98053 Re: Release of Bond, Building Permit (Halvorson- Lindell) To Whom it May Concern :. This is to inform you that permit #5004 for demolition of the building located at 4621 South 134th St., has been finalled by our inspector. Therefore, bond no. 6456089 may be released. If you should have any questions, please feel free to contact Becky Davis, Permit Coordinator (433- 1851). ne Griffin Building Official BLD CITY S TUKWILA hcente BUi )ING PERMIT APPLIC TION Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Control # A Site Addrgss -�',� f ��, �,3- Suite# Floor# Project Name /Tenant (j,400 Valuation of Construction PG/?mOk5-k Assessors Account# )Q 2OJ'720 3( ff;ZOJq;Z i Property Owner i7a /j/OY5 LOA. - l2)/�cfa// Phone 'Qrg.— 0e441-c/ Address S"/ 03 //94 P /c(C6 /Y,,. ir&c401,, fd) 0/0 Zip 980,5Z. Applicant Ar ° 1,^ • — `� Phone ,r Address.570,3 Oge ea / f3c1i' 07., GJ 114 Zip Architect /Engineer /,/C /, ?. Phone Address Zip Contractor License# Phone Address Zip Class of Work: [] New El Addition 0 Tenant Improvement El Remodel (residential) D Reroof Demolition E Interior Demolition Other Describe work to be done Deh? 0 2/.514 %x t S dik! f 190143e. Type of Const. (UBC) )5 01.e. Occ. Group (UBC) Square footage of entire building) :300 Square footage of tenant space Building Use Will there be a change of use? 0 Yes fl No If yes, describe change of use, including square footages of changed areas Will there be storage or use of flammable, combustible or hazardous materials on the premise or area of construction? 0 Yes X No If yes, explain I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUT RLZATIONa0 DO THIS WORK. Applicant /Authorized Agent (signaiar t /�fJ; ��f Date %� �� (print name)_ 60E L.Md6// Contact Person (please print) 15a.0/4- l...tkigAoll Phone 868- Os-1 -? OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ 31),QZ) Receipt# g.0 0 Date Paid cj'- f7 -7 Plan Check Fee (000/345.830) Receipt# Date Paid Bldg Code Sur Charge (000/386.904) x-59- Receipt# Date Paid Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL , ?Q,a) (OWES: $ ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entir Building: FLOOR USE /Occ Type SQ.FT._. UCG- AD USE /Occ Type, SQ.FT. OCC LOAD, USE /Occ Typ SQ,FT, OCC „lpll_ TOTAL SQ.FT. TOTAL OCC. 171 AL TRACKING DEPT. DATE IN DATE OUT COMMENT BLDG ✓* - , -, C',117-',6 'pproveu or ssuance lawiL8 ype o onst. To Mahan: Date Approved: FIRE Approved (Initials) Per letter dated Fire Protection: Approved CInitials) • Sprinklers 0Detectors • BAR O LAND USE /SEPA CONDITIONS PLNG Zoning Setbacks: N S E W Parking stalls required for: Site Tenant Space Parking stalls provided: Site Tenant Space ADDITIONAL PARKING STALLS REQUIRED: PWD Approved (Initials) Per letter /plans dated