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Permit 5027 - Anderson / Lucky Bobs - Building Demolition
CITY OF TUKWILA Building Division 6200 Southcenter Boulevard PERMIT # ,5"p0j/ Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Control # 83 -171 c. Work to be done Demolition (Building) Site Address —1280$ 42 Av S Building Use N/A Property Owner Joseph C- Andersnn Address 12929-.Empi-re lilay S , Seattle, _WA, Contractor Washington Wrecking #WASIITWC135d0:777.gj _ Address 13001 Empar WA._` Suite. # Tenant_ Anderson (Lucky Bobs) Assessors •\cc'.unt #_ 734560- 1060 -01 Phone # 772 -4676 Zip 98178 Phone # 772 -6556 Zip 98178 FOR BUILDING PERMIT ONLY 9uCaYed for issuance by ■•••," Sq. Ft. Tit—Fr. Office Warehouse Retail Other Occ. Load] 2nd Fl. -Trd ET: Total Fire Protection: [] Sprinklers Zoning Special J Detectors Type of Construction _ Fees sq. ft. @ 1st Fl. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Chock Fee Demolition Surcharges Other Other Receipt #(45-5.3 $ 30,.(K Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt # $ Bond Amount: $10,000 TOTAL #9091.00 x 110% = $10,000 $ 30.00 This demolition permi tiss net-in full force and-effect-until bond required Conditions by ordinance #1393 is obtained and posted with the City. The bond must be ••s -d 'th the Cit not later than 4:30 '.m. October 2 1987. This permit ays ram sate o issuance. is permit expires ovem.er ' r,.c,ombl i shed a jy„ifl idled i n Ordinance ;1393 attached. • J Permanent [l Temporary 0 Single Face (J Double Face Building face Square Footage of each sign face Special Conditions 0 Wall Mounted Setbacks: Front (j Free Standing Side Side [l Other Rear Total square footage of sign 101111111.1107111•40111/t.i.1111.MINIONl.l..rl.' WIMP THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEU FUR A PERIOD OF 180 DAYS AT ANY TiME AFTER WORK iS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH S TYPE OF WORK WILL COMPpLD WITH WHETHEP. SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GiVE AUTHORITY TO VIOLATE O ( CANCEL TIE PPOV ONS ANY OT)IER STATE OR LOCAL LAW REGULATING C {STR TION R T." PERFORMANCE OF CONSTRUCTION. _.G Date_ (`� �Q —�-UG L LICENSED CONTRACTORS DECLARATION icensed un er provjailora Iciness and Professions Code. and l iypf �f S igne I hereby affirm that I am Contractor (signature Date. //P -- OWNER- BUILDER DECLARATION ( ) 1, as owner of the property, or my employe,:s, with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) force and effect. CITY OF TUKWILA Building Division 1 trL00 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT Work to be done Demolition (Building) Site Address 12808 42 Av S Building, Use. N/A Property Owner Joseph r- Address 1 Contractor Address . . t . horC mf'oreria.t7 PERMIT #��?� - Control # 83-171 Andprcnn Suite.# Tenant Anderson (Lucky Bobsj_ Assessors L\cc':unt # 734560- 1060 -01 Phone # 772 - 4676 Zip 98178 Phone-7 772-056 Zip 98178 tl P, WA Washington Wrecking #WASHTWC135J'2_ ,A01 13001 la FOR BUILDING PERMIT ONLY Auproyed f is or suance by S7. Ft. YstFl., *Office 'la�enouse Retail Other Occ. Load] 2nd Fl. 3d Fl. Total Fire Protection:( )� Sprinklers C1 Detectors ""zan ng Type of ConstrucMn TOT/*L #9091:00 x 160" _ fifo,C1 r.,.T 301m This demolition permit is not in full torce and ettecf until on require Special Conditions by ordinance #1393 is obtained and posted with the City. The 'bond must be posted with the Cit not later than 4:30 •.m. October 2 1987. This —76'11M rom •a e o issuance. is perm expires 'ovemser P , mnl„h_,d outlined in Ordinance #1393 attached. Fees sq. ft. @ 1st Fl. sq. ft. @ _ 2nd Fl. sq. ft. @ other sq. ft. @ other Total Valuation of Construction g) 0 ) Bldg. Permit Fee Receipt # $ 30..0a Plan Chock Fee Receipt # $ Demolition Receipt # $ Surcharges Receipt # $ Other Recej pt� #i ; f $/ )1- Other Receipt # $ (C. ( I`'t Bond Ammont: $10,000 -t- Permanent L] Temporary Single Face Q Double Face LI Wall Mounted [' Free Standing [[,Other Building face Setbacks: Front Side Side Rear Square Footage Of each sign face Special Conditions Total square footage of sign •3110111011111.111111117T 1■11MO THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 1S COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW FHE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH S TYPE OF WORK WILL.BE COMPL D WITH WHETHER. SPECIFIED HEREIN OR NOT. THE GRANTING or ,A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO !! VIOLATE OR /CANCEL T E PROVISIONS ANY OT ER STATE OR LOCAL LAW REGULATING C STR ETION R�^ THE% PERFORMANCE OF CONSTRUCTION. Signe G!1t _J1%--' V -� Date LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed un er pro v is)lon of t'. n sines and Professions Code, and my liyense .isjin ful force and effect. Contractor (signaturef /')f�/ �� l •- �'`'""� "�%��� Date C--1/ f/ Z OIWNER- BUILDER DECLARATION ( ) I, as owner of the property, or my employees, with wages 4s their sole compensation, will do the work, and the structure is net 4ntended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date___.�_., .•...MMINIMIlla-a CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspect i on /'ih a/ (_eI.7e) Site Address /o27Og. 442 �i/e So,._ INSPECTInN RECORD ('' PERMIT # .„0 c2 7 Date /p /i 7f 7 Requestor Special Instructions Date Wanted /D 7 p.m• Project Steiefr son ( ..e,,°'y , s) Phone # t Inspection Results/Comments( 2; 7)2 1 Inspector ikZ /4'l 46 Date A9 /50,7 City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433-1800 Gary L. VanDusen, Mayor October 22, 1987 Community Bank 439 Rainier Ave. So. Renton, WA 98055 Re: Anderson, Joseph C. - Letter of Credit #252 City File No. #5027 (CN -83 -171) To Whom it May Concern: This is to inform you that Permit #5027 was approved for final sign -off on October 14, 1987, therefore the letter of credit may be released to Joseph C. Anderson. If you should have any questions, please feel free to contact us. Sincerely,-, -) , . .J ,Y / • •� - . ck Beeler Planning Director cc: Building Officials/ City Attorney City Clerk C COMMUNITY BANK Project Name: ANDERSON, JOSEPH C. City File No.: 5027 (CN -83 -171) Letter of Credit #252 Expiration: November 30, 1987 ;t i 'i ■2r LH PLANMo1r' IRREVOCABLE LETTER OF CREDIT - SECURITY FOR PERFORMANCE We hereby establish our irrevocable Letter of Credit in favor of the City of Tukwila in the amount of $10,000.00. This Letter of Credit is issued in connection with demolition of the project known as Lucky Bob's (Joseph C. Anderson, owner), located at 12808 42nd. Avenue South, Tukwila, Washington, to guarantee demolition of the existing building. It is understood that the nature and extent of the demolition is defined by Ordinance #1393 and conditions contained in the City of Tukwila Building Permit File No. 5027. If, in the sole determiniation of the City Building Official and /or Planning Director, the above - referenced demolition is not completed as required by Ordinance #1393 at the above location, no later than November 28, 1987, this bank agrees to pay to the City of Tukwila the sum of $10,000.00, upon receipt of written request for such payment. This Irrevocable Letter of Credit shall not expire until released in writing by the City of Tukwila, Uhich release shall be provided upon request when the required improvements have been completed as provided above. ..!4) AV _ ..... By: 1 Date Cto ' e sianec iy autho ized re sen tive of lending institut on) Bank Name a rt). Bank Branch (23/LC.9 -30) e rle , . J/cci r'l' G Name (please prit) J Loa, 6174 Le Title Addre City, State, Zip MAIN OFFICE, 439 Rainier Avenue South, Renton, Washington 98055, Telephone (206) 271-1560 HIGHLANDS OFFICE, 3005 North East Sunset Blvd, Renton, Washington 98056 (206) 271- 5700 City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (206) 433 -1800 Gary L. VanDusen, Mayor MEMORANDUM To: CA-3-171: LuClu j &b.5 111 e FROM: heal1 Dat iC ) DATE: -.2' ' ? SUBJECT: Obrn OL `603) 19- J 4 t 4- % •1L 1 , ^,i h YI / il'L `1-1,1 jin/ t Goa 6 v ►'Yk . anoteA/L501 Ede. -toot -1-31& ole6sto-c , b wt 11 30 0 pLL4/-1d OYl tiAci ,54916 11-b Cord) t i to him av ' wot41ct be ct o y •fiv.fi �5 , 06 and6r504 Sr. PI CJU{I _IMO 0e.r7 4.6 --e i C A -ten o-zi . be-e- hG `ai 1,IJmadeH carman of4'1i)g! �`tw5 ii Lid. umAlwi hfryi ti,10 749/ phont f n etrikark 11 516, w4 c Il/ I, 41 14.4 G, C004j pei [ark , ;Az thcri/- record of DlCU /l Q.N.Cb 4),W3 'ZUQzQ at.&-41 kUvYI. (10 /T2.MEMO) '"" City of Tukwila 1808 1908 ' 6200 Southcenter Boulevard Tukwila Washington 98186 110l1433�1e00 G2ry L. VaeDUSan, mayor 6200 Southcenter Boulevard Tukwila Washington 98188 1208) 633.1800 Gary L. VanDusen, Mayor TO: t7/: MEMORANDUM FROM: &Glut', CLJ L4) DATE: '7- a3-F7 SUBJECT: _& (OZAJ ()OILY,L,2d t to vg VV at 7-.2-i -J37 Liu 6/4411eLai-ry c_irU Otile-di4y.. a, ,Ezvo. ll#711171L1 Lfzi/K, ,YeteJ opyeriz,b Jr) (1L) (L Cad& 0 Awiy n 56/Z1 ,,znd 14i_i 'Natio{ rlll ±c .- tic f, c p L ice da. y City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (20S) 433 -1800 Gary L. VanDusen, Mayor MEMORANDUM TO: (I-17 -5' 3 -/%/ o&) PROM: auc,LO OATS: 1-0-?17 SUStJSCT: ceifil ()Li t7 % .460nd -n a -►-t d. • 006 ern y ue #e.et. a, &Pd i / D! 4� / ' �•i' City of Tultw 6200 Southcenter Boulevard Tukwila Washington 98188 1206) 433 -1800 Gary L. VanDusen, Mayor MEMORAN©UN TO: Cio 131? l ; jar i &j16J)2.5 FROM: &al (aif t ) DATE: '% - 37 SUBJECT: at/71UL/ tl Q?/1 i Do yv(t, Coo c La#- tvi z bcr) cL ,1\ fg-e-P41-. (1)•S' D 11L Ca wLLAgb 111 i €41-eriA2 A±66Onit , &Li Lai 1 i3 CSI tot bt _P'ra Lt Le. Ltivy ob buitthq, 44/), J, Lb1c. L Otazirrii/it t OLi t7 ucdlicalon, cO M eCt 't OmOUtl'OX, ataiLae Cayllt pe,t 4j a /J, Z rhii i ag (lo Wh 36/006 3. t Z ) =l4 a CYO Volt! cb ai ,001 2ov t 1070 3 1/1,2,70 ,3ond, ?jn j n 1 t - ,k ar d. a rri oum 6zuzio Gv t 4,h& 2- sC; v ,btm€,1 (c tt/i 'd, Jai O iclzwery ?-6-S1 U1AZ2n(, 0,capAuku rn et 11),75 a Sq)uc L 11- O t . /0, 00z, City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (2041433.1600 Gary L. VanDusen, Mayor MEMORANDUM TO: F/ le (1'7- $3-)7/ . prlu' 1/440b5 FROM: 8JC + /.i'lk, PA.411.1 f' Ccvx /I(irxv DATE: - -37 SUBJECT: 1. )w14 fp L-ict.G 9ui 4 iL 12414 f/de!, _arid n -L a,ttortud 06)' a.ne .0. /....,. 0.: _ i.. r ii_ It .r., / Cd-- 0. lai..u(ru t ae 'ra i,xL � 01.1pnoY Y,U i am vto dry al Ljar CEO -c/a/ to /a.b (i lazipy,n,/ c3. Ma a& Wa ta.ra , *, ac /Dynii, 4arct Glicu - tvazJ 2/ ■ _Li • iv it �J c�t.0 -/ 4114 i 'I",rd d aJ 4 t v del -L/4 oz Drrv)/ifl ?icJ y(24de.Gd.,4- L/, ?I) t W€-J" r.L u'e.„4 b' 7t/ t/ DW.S, Natant hit,, &u/dMq 9 Cylliciai Po49. 67 i , 'ice `mc tei ai j . % r� ca 6a- .for 0,,,42teAn42.1- I IQ 7 at-I 0 nriti tconaAcJ Xh4C1 �i 1 / ?tt -Ine 2 oYC v )0-apett,ed CITY OF� ~ILA Building Sou he Division BU ING PERMIT APPLIC' 'ION J� Tukw Sa, Weshing on 98188 i Tukwila, M�shington 98188 Control # F3--/17 (2061 433 -1845 Site Address I Z-Dg 2,yyk (=) V E , Suite# Floor# Project Name /Tenant Valuation of Construction gF ' ?C) K 500o Assessors Account# 73c/5676 / O (p Q O� Property Owner Srgre1G Phone Address /Z / Z7 gi'1 ) / (_,c_ `-/ -3 Zip TT/ 7 Appl i cant SI- tit Address Architect /Engineer Address Phone Phone Zip Zip Contractor(,( M,5fj /A/Cr7 A/ (). _)(?CC ►CI4I cense# L Ul'} ,1-I I GO( 17 j 2 Phone 77 Z -(052.5.- Address / 300/ e ✓V)I'I,Z Zip Class of Work: El New Cl Addition El Tenant Improvement 0 Remodel (residential) Reroof [J- Demolition 0 Interior Demolition [] Other Describe work to be done 1 ,y,u}(co-r .,124/LA,/ , .i1 ;n iu .l I.. % ' / - -., _ t4. fj,IISJ/rM % J • �0 1, '! % T�P e onsix. (UBC) Oc . Group (UBC) Squ f foot:.e o entire building Squ'a1�` fo4i�irntpace n �iU s, «� /�,, h Building Use , )01Jc. ( ieac, ,01`) Will there be a change of use? 0 Yes D 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 C3' area of construction? [] Yes 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 AUTHORIZATION TO DO THIS WORK. Applicant /Authorized Agent (signatu P� l r di,(ZDA4Cn'( Date 2 e 7 � (print na OSat°N C Aw1�c,lZSC�n/ Contact Person (please print) 3PW4; Phone 172 -037 OFFICE USE ONLY £Q- 'CL- (,—Zi ~$7 FEES: Building Permit Fee (000/322.100) $ Receipt# Date Paid Plan Check Fee (000/345.830) Receipt# Date Paid Bldg Code Sur Charge (000/386.904) 1.50 Receipt# Date Paid Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL (OWES: $ SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entire Building: OCC CC FLOO USE /Occ Type SQ.FT. G A OAD USE /Occ Tvoq SQ.FT. LOAD USE /Occ TvDA SO.FT. in R An TOTAL TOTAL SQ.FT. OCC. TOTAL r wommummommor CITY OF TUKWILA ,6200 Southcenter D1v1sion hcenter Boulevard BU( ING PERMIT APPLIC -ION Q 6200 Tukwila, Washington 98188 - Control # V / 7 (2061 433 -1845 Site Address 1250g y7r.c4 ) U Suite# Floor# Project Name /Tenant _.:5 :{ -1.1 C. i� )L ,� `,‘. ti 4/ Valuation of Construction A PPVU K ,O Assessors Account# 77 :595 C'6 / C o Q(' Property Owner m E Phone Address / Z Z I ,))j// (JP) Zip 'r/ 7 g Phone Applicant Sf -40,1n Address Zip Architect /Engineer Address Phone Zip Contractor (j )/ 3f- / /,UCfrOA/ ,))(?CCIcIAicense# I (J/? r,r -1 1 i)Jc l:' ;., ,)? Phone 7/ Z -6,5f. Address / 300/ y4,)/)Ii(-...., (_)�F)-/ j Zip Class of Work: 0 New Q Addition 0 Tenant Improvement D Remodel (residential) E] Reroof [-Demolition [l Interior Demolition (l Other Describe work to be ,done, DC ti I: td .(r &(� (,,,•,_ ly 4,,,,,6,,J(.., A4 . .,1/ / Ar / / 7 ! ),72.4Z,60-7/ • J - 1z(i-4e4! 6:.17-11e_ 4 U %2.. L! MEWi _JO L; T e of.0 ns (UBC) Ocs. Group (UBC ) S q u•r foot.�e o entire buildin g S un � fo �' e ff nt - roace n611; � f ,V - ; (7,0 Building Use 11)Q,UC CV144C.4 .J7") Will there be a change of use? E] 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? Yes o 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 AUTHORIZATION TO DO THIS WORK. Applicant /Authorized Agent (si gnatu ;L7t: i 01, Date / Z(7/5 / (print nar eY JoSGP°i-I c 1410) -.1Z.so/,/ Contact Person (please print) 3/24'1i✓ Phone 17-(611537 OFFICE USE ONLY lie CA— cr zq-87 _ FEES: Building Permit Fee (000/322.100) $ Receipt# Date Paid Plan Check Fee (000/345.830) Receipt# Date Paid Bldg Code Sur Charge (000/386.904) 1.50 Receipt# Date Paid Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL (OWES: $ ) SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entirq Building; FLOOR USE /Occ Type SQ.FT. OCC LOAD USE /Occ Typa SQ.FT. OCC LOAD USE /Occ Tvpe, SOFT. OCC roan TOTAL SQ.FT. TOTAL OCC. —~ TOTAL TRACKING DEPT. DATE IN DATE OUT COMMENTS BLDG (p -9-0 51 Approved for Issuance Type of Const. To Mahan: Date A»»roved: Approved ( nif tials) Per letter dated FIRE Fire Protection: `Approved (Initials) • Sprinklers O Detectors O BAk O LAND USE/SEPA CUNDTTIONS 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